Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $28.13	Professional		$28.13	$28.13	$28.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $228.57	Professional		$99.89	$99.89	$228.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $200.00	Professional		$100.00	$100.00	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00