Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $34.33 / $34.33	Facility		$34.33	$34.33	$34.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $71.12	Professional		$20.00	$20.00	$71.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $180.06 / $9,999.99	Professional		$52.85	$180.06	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $203.23 / $299.14	Professional		$141.69	$203.23	$299.14
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $203.23 / $216.05	Professional		$202.58	$203.23	$216.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $230.00 / $230.00	Professional		$80.00	$230.00	$230.00