Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $227.63 / $564.69	Professional		$197.66	$227.63	$564.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $199.24 / $263.64	Professional		$199.24	$199.24	$263.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $334.06 / $484.03	Professional		$293.89	$334.06	$484.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $276.72 / $702.72	Professional		$188.72	$276.72	$702.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $268.70 / $288.63	Professional		$256.95	$268.70	$288.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.37	Professional		$32.34	$32.34	$326.37
United Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $289.00 / $481.52	Professional		$210.99	$289.00	$481.52