Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $216.67 / $281.43	Professional		$75.44	$216.67	$281.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $265.27 / $495.81	Professional		$105.84	$265.27	$495.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $275.95 / $537.70	Professional		$108.89	$275.95	$537.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $418.93 / $780.29	Professional		$127.56	$418.93	$780.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $113.24 / $399.44	Professional		$104.26	$113.24	$399.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $460.89	Professional		$32.34	$32.34	$460.89
United Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $415.59 / $638.90	Professional		$289.89	$415.59	$638.90