Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $251.34 / $434.86	Professional		$160.52	$251.34	$434.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $314.83 / $532.53	Professional		$208.83	$314.83	$532.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.16 / $307.02 / $500.32	Professional		$197.16	$307.02	$500.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $237.05 / $393.51 / $729.82	Professional		$237.05	$393.51	$729.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.16 / $220.12 / $365.40	Professional		$210.16	$220.12	$365.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $413.19	Professional		$32.34	$32.34	$413.19
United Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $339.53 / $588.51	Professional		$248.11	$339.53	$588.51