Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $114.14 / $181.92	Professional		$80.62	$114.14	$181.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $142.43 / $207.83	Professional		$109.44	$142.43	$207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $136.44 / $220.84	Professional		$90.16	$136.44	$220.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $174.05 / $275.98	Professional		$111.35	$174.05	$275.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $116.70 / $165.31	Professional		$111.92	$116.70	$165.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $190.74	Professional		$32.34	$32.34	$190.74
United Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $155.69 / $274.13	Professional		$112.99	$155.69	$274.13