Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $309.03	Professional		$114.82	$151.36	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $302.00	Professional		$147.91	$204.17	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $288.40	Professional		$131.83	$194.98	$288.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $537.03	Professional		$158.49	$245.47	$537.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $204.17	Professional		$154.88	$158.49	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $194.98	Professional		$32.36	$32.36	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $288.40	Professional		$125.89	$173.78	$288.40