Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $426.58	Professional		$125.89	$234.42	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $436.52	Professional		$158.49	$257.04	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $426.58	Professional		$147.91	$251.19	$426.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $660.69	Professional		$162.18	$346.74	$660.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $323.59	Professional		$158.49	$165.96	$323.59
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 $138.04 / $239.88 / $416.87	Professional		$138.04	$239.88	$416.87