Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $150.77 / $257.57	Professional		$91.18	$150.77	$257.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $190.16 / $270.07	Professional		$122.70	$190.16	$270.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $174.63 / $275.54	Professional		$109.08	$174.63	$275.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $216.72 / $447.31	Professional		$133.74	$216.72	$447.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $127.75 / $201.24	Professional		$124.19	$127.75	$201.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.20	Professional		$32.34	$32.34	$232.20
United Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $191.68 / $338.09	Professional		$142.33	$191.68	$338.09