Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $380.19	Professional		$77.62	$181.97	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $288.40	Professional		$93.33	$204.17	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $371.54	Professional		$87.10	$194.98	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $316.23 / $467.74	Professional		$109.65	$316.23	$467.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $288.40	Professional		$93.33	$102.33	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $331.13	Professional		$83.18	$173.78	$331.13