Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $275.42	Professional		$114.82	$151.36	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $295.12	Professional		$239.88	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $275.42	Professional		$123.03	$190.55	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $616.60	Professional		$144.54	$218.78	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $194.98	Professional		$138.04	$144.54	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $288.40	Professional		$125.89	$169.82	$288.40