Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $457.09	Professional		$144.54	$234.42	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $371.54	Professional		$165.96	$251.19	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $416.87	Professional		$169.82	$257.04	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $776.25	Professional		$186.21	$323.59	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $295.12	Professional		$177.83	$181.97	$295.12
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 $177.83 / $275.42 / $512.86	Professional		$177.83	$275.42	$512.86