Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $407.38	Professional		$128.82	$169.82	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $190.55	Professional		$128.82	$144.54	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $257.04	Professional		$128.82	$177.83	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $316.23	Professional		$125.89	$181.97	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $169.82	Professional		$151.36	$158.49	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $257.04	Professional		$112.20	$141.25	$257.04