Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $134.66 / $226.76	Professional		$120.70	$134.66	$226.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $219.84 / $247.75	Professional		$219.84	$219.84	$247.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $188.12 / $264.01	Professional		$131.69	$188.12	$264.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.96 / $209.84 / $483.55	Professional		$137.96	$209.84	$483.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.50 / $151.55 / $163.05	Professional		$145.50	$151.55	$163.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $32.34 / $184.37	Professional		$20.23	$32.34	$184.37
United Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $180.91 / $292.61	Professional		$127.26	$180.91	$292.61