Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $115.70 / $224.19	Professional		$80.68	$115.70	$224.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $150.68 / $253.40	Professional		$106.20	$150.68	$253.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $147.19 / $235.41	Professional		$93.85	$147.19	$235.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $188.33 / $442.37	Professional		$115.13	$188.33	$442.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $110.92 / $174.88	Professional		$103.13	$110.92	$174.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.61	Professional		$32.34	$32.34	$199.61
United Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $152.74 / $263.93	Professional		$112.71	$152.74	$263.93