Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $150.75 / $216.89	Professional		$120.45	$150.75	$216.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $122.70	Professional		$105.13	$105.13	$122.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $192.73 / $251.64	Professional		$146.96	$192.73	$251.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $175.59 / $295.18	Professional		$120.57	$175.59	$295.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $179.35 / $571.53	Professional		$124.56	$179.35	$571.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $140.86 / $154.22	Professional		$137.33	$140.86	$154.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.39	Professional		$32.34	$32.34	$174.39
United Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $174.39 / $277.25	Professional		$133.15	$174.39	$277.25