Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.24 / $266.33 / $266.33	Facility		$228.24	$266.33	$266.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $232.71 / $273.64	Professional		$206.08	$232.71	$273.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $262.54 / $262.54	Professional		$262.54	$262.54	$262.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $324.76	Professional		$65.81	$65.81	$324.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $258.87 / $321.04	Professional		$198.32	$258.87	$321.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,500.00 / $2,500.00	Professional		$100.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $248.75 / $248.75	Professional		$248.75	$248.75	$248.75