Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $146.84 / $240.13	Professional		$104.57	$146.84	$240.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $217.96 / $288.17	Professional		$133.78	$217.96	$288.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $174.67 / $260.67	Professional		$113.85	$174.67	$260.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $210.18 / $366.90	Professional		$139.69	$210.18	$366.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $133.33 / $194.68	Professional		$129.71	$133.33	$194.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.13	Professional		$32.34	$32.34	$220.13
United Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $195.98 / $308.38	Professional		$135.61	$195.98	$308.38