Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $192.27 / $349.31	Professional		$112.69	$192.27	$349.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $235.89 / $377.22	Professional		$157.59	$235.89	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.93 / $225.11 / $386.92	Professional		$139.93	$225.11	$386.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.41 / $305.36 / $613.33	Professional		$165.41	$305.36	$613.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $168.31 / $301.20	Professional		$162.41	$168.31	$301.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $347.54	Professional		$32.34	$32.34	$347.54
United Facility/Professional Professional Modifier Low / Median / High Price $209.49 / $298.92 / $515.80	Professional		$209.49	$298.92	$515.80