Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.54 / $226.65 / $420.00	Professional		$141.54	$226.65	$420.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.47 / $251.10 / $373.22	Professional		$167.47	$251.10	$373.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $255.63 / $412.46	Professional		$170.02	$255.63	$412.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.84 / $321.31 / $719.80	Professional		$195.84	$321.31	$719.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.84 / $181.53 / $298.36	Professional		$176.84	$181.53	$298.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $344.27	Professional		$32.34	$32.34	$344.27
United Facility/Professional Professional Modifier Low / Median / High Price $260.62 / $359.53 / $692.93	Professional		$260.62	$359.53	$692.93