Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $275.42	Professional		$97.72	$144.54	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $288.40	Professional		$128.82	$177.83	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $263.03	Professional		$112.20	$169.82	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $602.56	Professional		$138.04	$223.87	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $199.53	Professional		$125.89	$134.90	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $165.96	Professional		$32.36	$32.36	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $257.04	Professional		$104.71	$151.36	$257.04