Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $204.14 / $334.30	Professional		$107.50	$204.14	$334.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $220.85 / $370.30	Professional		$128.97	$220.85	$370.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $222.04 / $403.71	Professional		$118.58	$222.04	$403.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $302.77 / $811.32	Professional		$148.07	$302.77	$811.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $140.08 / $290.89	Professional		$129.40	$140.08	$290.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $328.94	Professional		$32.34	$32.34	$328.94
United Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $274.20 / $474.06	Professional		$193.46	$274.20	$474.06