Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.48 / $297.11 / $511.52	Professional		$195.48	$297.11	$511.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.41 / $332.78 / $495.28	Professional		$231.41	$332.78	$495.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $353.22 / $561.66	Professional		$235.56	$353.22	$561.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $421.88 / $1,313.20	Professional		$270.39	$421.88	$1,313.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $251.08 / $395.41	Professional		$244.50	$251.08	$395.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $456.24	Professional		$32.34	$32.34	$456.24
United Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $509.95 / $883.94	Professional		$333.96	$509.95	$883.94