Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $252.90 / $460.10	Professional		$194.14	$252.90	$460.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.13 / $200.13 / $264.83	Professional		$200.13	$200.13	$264.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $335.55 / $486.19	Professional		$295.20	$335.55	$486.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $199.98	Professional		$199.98	$199.98	$199.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $189.56 / $277.95 / $766.72	Professional		$189.56	$277.95	$766.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $269.91 / $289.91	Professional		$258.10	$269.91	$289.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $327.82	Professional		$32.34	$32.34	$327.82
United Facility/Professional Professional Modifier Low / Median / High Price $213.95 / $306.50 / $524.35	Professional		$213.95	$306.50	$524.35