Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $209.09 / $343.95	Professional		$112.80	$209.09	$343.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $227.97 / $372.16	Professional		$134.15	$227.97	$372.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.51 / $224.55 / $409.09	Professional		$123.51	$224.55	$409.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $313.18 / $610.38	Professional		$156.25	$313.18	$610.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $145.09 / $298.77	Professional		$142.49	$145.09	$298.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $337.85	Professional		$32.34	$32.34	$337.85
United Facility/Professional Professional Modifier Low / Median / High Price $204.60 / $290.00 / $497.14	Professional		$204.60	$290.00	$497.14