Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.05 / $239.54 / $436.99	Professional		$121.05	$239.54	$436.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $282.47 / $483.18	Professional		$161.62	$282.47	$483.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $264.73 / $481.93	Professional		$153.49	$264.73	$481.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $373.36 / $640.67	Professional		$185.73	$373.36	$640.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $169.69 / $359.53	Professional		$159.43	$169.69	$359.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $414.84	Professional		$32.34	$32.34	$414.84
United Facility/Professional Professional Modifier Low / Median / High Price $262.61 / $363.56 / $595.98	Professional		$262.61	$363.56	$595.98