Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $309.03	Professional		$141.25	$173.78	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $177.83 / $354.81	Professional		$56.23	$177.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $380.19	Professional		$151.36	$239.88	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $549.54	Professional		$162.18	$275.42	$549.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $208.93	Professional		$190.55	$194.98	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $354.81	Professional		$181.97	$245.47	$354.81