Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $160.76 / $311.04	Professional		$77.59	$160.76	$311.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $206.02 / $366.02	Professional		$94.01	$206.02	$366.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $184.72 / $371.02	Professional		$93.93	$184.72	$371.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $296.27 / $444.34	Professional		$112.01	$296.27	$444.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $101.76 / $288.82	Professional		$94.21	$101.76	$288.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.58	Professional		$32.34	$32.34	$326.58
United Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $250.83 / $435.69	Professional		$180.77	$250.83	$435.69