Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $289.06 / $492.36	Professional		$200.97	$289.06	$492.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $358.17 / $606.04	Professional		$259.02	$358.17	$606.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $375.33 / $566.67	Professional		$237.30	$375.33	$566.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $299.29 / $472.95 / $1,311.15	Professional		$299.29	$472.95	$1,311.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.31 / $277.91 / $409.89	Professional		$271.31	$277.91	$409.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $463.49	Professional		$32.34	$32.34	$463.49
United Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $430.69 / $699.55	Professional		$301.14	$430.69	$699.55