Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $309.03	Professional		$117.49	$151.36	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $316.23	Professional		$134.90	$190.55	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $724.44	Professional		$138.04	$218.78	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $181.97	Professional		$154.88	$165.96	$181.97
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 $131.83 / $173.78 / $281.84	Professional		$131.83	$173.78	$281.84