Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $489.78	Professional		$117.49	$245.47	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $467.74	Professional		$144.54	$275.42	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $446.68	Professional		$134.90	$251.19	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $660.69	Professional		$151.36	$363.08	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $346.74	Professional		$144.54	$151.36	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $436.52	Professional		$125.89	$239.88	$436.52