Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $163.80 / $295.61	Professional		$130.80	$163.80	$295.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $248.51 / $365.03	Professional		$179.72	$248.51	$365.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $233.79 / $340.97	Professional		$159.97	$233.79	$340.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $191.28 / $277.70 / $560.66	Professional		$191.28	$277.70	$560.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.43 / $190.01 / $249.02	Professional		$187.43	$190.01	$249.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $281.58	Professional		$32.34	$32.34	$281.58
United Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $218.75 / $378.03	Professional		$160.74	$218.75	$378.03