Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.32 / $308.39 / $308.39	Facility		$284.32	$308.39	$308.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.49 / $277.00 / $324.58	Professional		$259.49	$277.00	$324.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $289.52	Professional		$289.52	$289.52	$289.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $358.15	Professional		$22.70	$22.70	$358.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $247.10 / $300.05	Professional		$198.56	$247.10	$300.05
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 $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47