Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $189.15 / $316.52	Professional		$161.24	$189.15	$316.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $208.23 / $386.71	Professional		$109.49	$208.23	$386.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $254.77 / $403.88	Professional		$169.10	$254.77	$403.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $276.36 / $818.72	Professional		$173.71	$276.36	$818.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.30 / $207.47 / $220.81	Professional		$205.30	$207.47	$220.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.61 / $231.00	Professional		$32.34	$107.61	$231.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.65 / $250.45 / $432.46	Professional		$193.65	$250.45	$432.46