Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $122.54 / $204.27	Professional		$94.59	$122.54	$204.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $235.17 / $238.36	Professional		$128.16	$235.17	$238.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $150.69 / $240.70	Professional		$103.82	$150.69	$240.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $176.44 / $757.93	Professional		$118.93	$176.44	$757.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $134.44 / $145.11	Professional		$127.53	$134.44	$145.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.08	Professional		$32.34	$32.34	$164.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $138.19 / $238.14	Professional		$102.31	$138.19	$238.14