Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $214.29 / $402.58	Professional		$107.98	$214.29	$402.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $272.50 / $466.13	Professional		$146.01	$272.50	$466.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $239.58 / $447.66	Professional		$130.51	$239.58	$447.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $348.48 / $648.04	Professional		$163.80	$348.48	$648.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $152.10 / $348.48	Professional		$146.19	$152.10	$348.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $402.09	Professional		$32.34	$32.34	$402.09
United Facility/Professional Professional Modifier Low / Median / High Price $233.28 / $335.93 / $571.33	Professional		$233.28	$335.93	$571.33