Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $213.80 / $218.78	Facility		$177.83	$213.80	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $218.78	Professional		$154.88	$177.83	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $229.09	Professional		$194.98	$208.93	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $245.47	Professional		$44.67	$44.67	$245.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $234.42	Professional		$138.04	$190.55	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $245.47	Professional		$162.18	$162.18	$245.47