Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $239.88	Professional		$75.86	$114.82	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $251.19	Professional		$104.71	$151.36	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $229.09	Professional		$89.13	$141.25	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $489.78	Professional		$114.82	$199.53	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $173.78	Professional		$102.33	$109.65	$173.78
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 $83.18 / $125.89 / $208.93	Professional		$83.18	$125.89	$208.93