Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $81.28 / $97.72	Facility		$63.10	$81.28	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $91.20	Professional		$69.18	$81.28	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $57.54	Professional		$40.74	$52.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $100.00	Professional		$56.23	$79.43	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $346.74	Professional		$100.00	$199.53	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $144.54	Facility		$63.10	$79.43	$144.54