Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $78.00 / $175.00	Facility		$65.00	$78.00	$175.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $217.63 / $508.16	Facility		$103.04	$217.63	$508.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $88.00 / $114.00	Facility		$65.00	$88.00	$114.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.00 / $345.40	Facility		$100.00	$120.00	$345.40
Molina Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $5.23	Facility		$0.74	$0.74	$5.23