Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $158.49	Professional		$85.11	$104.71	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $208.93	Professional		$112.20	$194.98	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $707.95	Professional		$85.11	$128.82	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $131.83	Professional		$114.82	$120.23	$131.83
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 $100.00 / $173.78 / $251.19	Professional		$100.00	$173.78	$251.19