Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $142.36 / $261.42	Professional		$100.74	$142.36	$261.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $186.31 / $312.58	Professional		$134.74	$186.31	$312.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $186.45 / $293.05	Professional		$123.30	$186.45	$293.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.13 / $237.74 / $505.61	Professional		$153.13	$237.74	$505.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $142.19 / $214.02	Professional		$132.88	$142.19	$214.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $242.01	Professional		$32.34	$32.34	$242.01
United Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $189.61 / $337.44	Professional		$141.71	$189.61	$337.44