Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.13 / $96.10 / $188.00	Professional		$69.13	$96.10	$188.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $83.63 / $90.00	Professional		$60.00	$83.63	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $186.15 / $247.01	Professional		$154.02	$186.15	$247.01
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