Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $371.54	Professional		$112.20	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $338.84	Professional		$102.33	$169.82	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $354.81	Professional		$107.15	$204.17	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $549.54	Professional		$112.20	$245.47	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $245.47	Professional		$112.20	$112.20	$245.47
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 $114.82 / $223.87 / $389.05	Professional		$114.82	$223.87	$389.05