Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $323.59	Professional		$87.10	$165.96	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $234.42	Professional		$104.71	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $323.59	Professional		$100.00	$186.21	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $616.60	Professional		$125.89	$269.15	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $234.42	Professional		$107.15	$114.82	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $295.12	Professional		$95.50	$165.96	$295.12