Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $208.55 / $358.52	Professional		$152.00	$208.55	$358.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $241.89 / $358.99	Professional		$180.71	$241.89	$358.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $251.84 / $410.00	Professional		$166.51	$251.84	$410.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $309.52 / $610.38	Professional		$192.29	$309.52	$610.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $195.01 / $287.42	Professional		$187.36	$195.01	$287.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.00	Professional		$32.34	$32.34	$325.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $275.20 / $457.12	Professional		$204.12	$275.20	$457.12