Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.99 / $232.54 / $412.28	Professional		$144.99	$232.54	$412.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $292.45 / $494.53	Professional		$186.81	$292.45	$494.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $276.33 / $459.13	Professional		$168.18	$276.33	$459.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $212.11 / $360.45 / $595.80	Professional		$212.11	$360.45	$595.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $196.96 / $339.42	Professional		$188.81	$196.96	$339.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $383.80	Professional		$32.34	$32.34	$383.80
United Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $319.05 / $545.26	Professional		$229.94	$319.05	$545.26