Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $237.07 / $415.94	Professional		$135.85	$237.07	$415.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $253.50 / $413.47	Professional		$161.53	$253.50	$413.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.62 / $263.33 / $463.97	Professional		$154.62	$263.33	$463.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $358.28 / $579.48	Professional		$187.15	$358.28	$579.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $176.11 / $340.89	Professional		$170.96	$176.11	$340.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $385.46	Professional		$32.34	$32.34	$385.46
United Facility/Professional Professional Modifier Low / Median / High Price $225.54 / $303.16 / $523.65	Professional		$225.54	$303.16	$523.65