Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $173.99 / $253.47	Professional		$108.27	$173.99	$253.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $231.60 / $362.31	Professional		$146.58	$231.60	$362.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $207.35 / $326.41	Professional		$129.38	$207.35	$326.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $281.30 / $410.24	Professional		$162.19	$281.30	$410.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $151.53 / $263.56	Professional		$142.47	$151.53	$263.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.11	Professional		$32.34	$32.34	$304.11
United Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $229.94 / $376.68	Professional		$149.52	$229.94	$376.68