Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $426.58	Professional		$169.82	$223.87	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $338.84	Professional		$213.80	$309.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $407.38	Professional		$190.55	$257.04	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $741.31	Professional		$190.55	$295.12	$741.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $251.19	Professional		$223.87	$223.87	$251.19
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 $186.21 / $245.47 / $398.11	Professional		$186.21	$245.47	$398.11