Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $105.82 / $188.95	Professional		$89.92	$105.82	$188.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $172.16 / $239.89	Professional		$124.50	$172.16	$239.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $164.79 / $228.57	Professional		$110.37	$164.79	$228.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.31 / $190.51 / $403.79	Professional		$131.31	$190.51	$403.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $131.31 / $163.85	Professional		$129.38	$131.31	$163.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.28	Professional		$32.34	$32.34	$185.28
United Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $142.75 / $250.20	Professional		$105.56	$142.75	$250.20