Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $512.86	Professional		$173.78	$257.04	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $478.63	Professional		$234.42	$331.13	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $524.81	Professional		$204.17	$323.59	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $812.83	Professional		$234.42	$389.05	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $380.19	Professional		$239.88	$251.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $524.81	Professional		$199.53	$295.12	$524.81