Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $309.03	Professional		$112.20	$173.78	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $363.08	Professional		$147.91	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $338.84	Professional		$128.82	$204.17	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $407.38	Professional		$154.88	$275.42	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $263.03	Professional		$141.25	$151.36	$263.03
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 $120.23 / $177.83 / $316.23	Professional		$120.23	$177.83	$316.23