Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $133.19 / $217.99	Professional		$94.25	$133.19	$217.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $197.34 / $276.33	Professional		$120.85	$197.34	$276.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $169.04 / $272.63	Professional		$106.60	$169.04	$272.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $208.05 / $380.60	Professional		$128.88	$208.05	$380.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $120.72 / $186.54	Professional		$117.03	$120.72	$186.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.24	Professional		$32.34	$32.34	$215.24
United Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $182.95 / $335.40	Professional		$124.39	$182.95	$335.40