Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $109.26 / $203.76	Professional		$74.87	$109.26	$203.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $151.04 / $253.72	Professional		$105.82	$151.04	$253.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $145.06 / $233.28	Professional		$93.44	$145.06	$233.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $188.78 / $438.95	Professional		$114.73	$188.78	$438.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $110.34 / $175.29	Professional		$102.05	$110.34	$175.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.21	Professional		$32.34	$32.34	$198.21
United Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $146.61 / $253.62	Professional		$109.21	$146.61	$253.62