Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $281.84	Professional		$100.00	$151.36	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $269.15	Professional		$123.03	$190.55	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $275.42	Professional		$109.65	$177.83	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $467.74	Professional		$125.89	$218.78	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $199.53	Professional		$123.03	$128.82	$199.53
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 $104.71 / $158.49 / $275.42	Professional		$104.71	$158.49	$275.42