Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.42 / $292.82 / $559.40	Professional		$179.42	$292.82	$559.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.07 / $353.65 / $544.40	Professional		$244.07	$353.65	$544.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $339.92 / $600.49	Professional		$187.01	$339.92	$600.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.80 / $438.56 / $1,042.83	Professional		$228.80	$438.56	$1,042.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.13 / $256.66 / $438.56	Professional		$255.13	$256.66	$438.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $506.03	Professional		$32.34	$32.34	$506.03
United Facility/Professional Professional Modifier Low / Median / High Price $334.26 / $475.94 / $869.29	Professional		$334.26	$475.94	$869.29