Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $122.42 / $221.65	Professional		$99.11	$122.42	$221.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $105.00 / $141.19	Professional		$90.00	$105.00	$141.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $246.37 / $265.95	Professional		$202.05	$246.37	$265.95
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00