Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $74.12 / $112.35	Professional		$62.51	$74.12	$112.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $58.73	Professional		$58.73	$58.73	$58.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $77.53 / $117.13	Professional		$65.90	$77.53	$117.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $86.02 / $125.32	Professional		$65.29	$86.02	$125.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $94.18 / $246.57	Professional		$67.48	$94.18	$246.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.52 / $79.81 / $86.02	Professional		$76.52	$79.81	$86.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $99.26	Professional		$32.34	$32.34	$99.26
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.44 / $131.60	Professional		$63.10	$85.44	$131.60