Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $223.83 / $403.63	Professional		$127.00	$223.83	$403.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $256.47 / $438.71	Professional		$159.35	$256.47	$438.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $247.99 / $427.70	Professional		$141.97	$247.99	$427.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.06 / $345.40 / $640.94	Professional		$179.06	$345.40	$640.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $166.27 / $327.24	Professional		$159.71	$166.27	$327.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $377.58	Professional		$32.34	$32.34	$377.58
United Facility/Professional Professional Modifier Low / Median / High Price $233.58 / $322.39 / $610.94	Professional		$233.58	$322.39	$610.94