Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $207.93 / $383.00	Professional		$127.84	$207.93	$383.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $255.13 / $394.72	Professional		$167.92	$255.13	$394.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $250.35 / $408.27	Professional		$149.44	$250.35	$408.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.12 / $321.62 / $747.89	Professional		$180.12	$321.62	$747.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $176.63 / $303.29	Professional		$172.29	$176.63	$303.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $349.95	Professional		$32.34	$32.34	$349.95
United Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $307.07 / $494.65	Professional		$224.84	$307.07	$494.65