Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $151.00 / $249.73	Professional		$87.58	$151.00	$249.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $176.31 / $295.63	Professional		$104.72	$176.31	$295.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $190.59 / $312.92	Professional		$105.59	$190.59	$312.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $249.31 / $544.33	Professional		$124.79	$249.31	$544.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.64 / $114.01 / $231.89	Professional		$106.64	$114.01	$231.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.22	Professional		$32.34	$32.34	$262.22
United Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $214.89 / $365.71	Professional		$151.80	$214.89	$365.71