Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $233.02 / $410.79	Professional		$148.57	$233.02	$410.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $296.47 / $501.88	Professional		$192.32	$296.47	$501.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.28 / $288.22 / $461.44	Professional		$180.28	$288.22	$461.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.67 / $370.55 / $634.87	Professional		$218.67	$370.55	$634.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.01 / $203.05 / $344.08	Professional		$195.01	$203.05	$344.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $396.99	Professional		$32.34	$32.34	$396.99
United Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $307.52 / $554.19	Professional		$227.38	$307.52	$554.19