Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $143.04 / $252.32	Professional		$114.48	$143.04	$252.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $203.70 / $302.66	Professional		$147.32	$203.70	$302.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $198.00 / $298.30	Professional		$134.83	$198.00	$298.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $237.90 / $483.72	Professional		$162.96	$237.90	$483.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $157.91 / $204.10	Professional		$153.62	$157.91	$204.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.79	Professional		$32.34	$32.34	$230.79
United Facility/Professional Professional Modifier Low / Median / High Price $143.90 / $194.89 / $337.68	Professional		$143.90	$194.89	$337.68