Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $389.05	Professional		$114.82	$199.53	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $380.19	Professional		$158.49	$251.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $416.87	Professional		$141.25	$229.09	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $630.96	Professional		$162.18	$316.23	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $302.00	Professional		$162.18	$169.82	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $416.87	Professional		$131.83	$229.09	$416.87