Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $501.19	Professional		$147.91	$251.19	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $489.78	Professional		$186.21	$295.12	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $457.09	Professional		$165.96	$269.15	$457.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $645.65	Professional		$204.17	$363.08	$645.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $338.84	Professional		$190.55	$194.98	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $323.59	Professional		$32.36	$32.36	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $446.68	Professional		$158.49	$251.19	$446.68