Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $318.06 / $520.42	Professional		$197.41	$318.06	$520.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.76 / $346.55 / $527.67	Professional		$224.76	$346.55	$527.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $353.91 / $610.22	Professional		$210.69	$353.91	$610.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.45 / $427.34 / $1,075.45	Professional		$223.45	$427.34	$1,075.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $238.47 / $238.50 / $400.66	Professional		$238.47	$238.50	$400.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $453.05	Professional		$32.34	$32.34	$453.05
United Facility/Professional Professional Modifier Low / Median / High Price $307.83 / $421.55 / $737.81	Professional		$307.83	$421.55	$737.81