Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $218.78	Professional		$81.28	$114.82	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $208.93	Professional		$109.65	$162.18	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $229.09	Professional		$97.72	$144.54	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $288.40	Professional		$112.20	$177.83	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $165.96	Professional		$112.20	$117.49	$165.96
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 $91.20 / $134.90 / $229.09	Professional		$91.20	$134.90	$229.09