Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $229.75 / $433.50	Professional		$159.00	$229.75	$433.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $324.89 / $482.89	Professional		$221.45	$324.89	$482.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $299.24 / $495.40	Professional		$201.33	$299.24	$495.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $232.85 / $400.48 / $887.40	Professional		$232.85	$400.48	$887.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $225.34 / $235.79 / $385.65	Professional		$225.34	$235.79	$385.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $436.08	Professional		$32.34	$32.34	$436.08
United Facility/Professional Professional Modifier Low / Median / High Price $258.57 / $355.53 / $623.79	Professional		$258.57	$355.53	$623.79