Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $257.04	Professional		$48.98	$102.33	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $181.97	Professional		$64.57	$107.15	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $181.97	Professional		$54.95	$100.00	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $724.44	Professional		$75.86	$165.96	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $138.04	Professional		$58.88	$66.07	$138.04
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 $52.48 / $91.20 / $177.83	Professional		$52.48	$91.20	$177.83