Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $602.56	Professional		$199.53	$309.03	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $602.56	Professional		$257.04	$354.81	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $575.44	Professional		$229.09	$363.08	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,380.38	Professional		$295.12	$501.19	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $407.38	Professional		$269.15	$275.42	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $575.44	Professional		$223.87	$346.74	$575.44