Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $103.34 / $131.13	Professional		$76.88	$103.34	$131.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $148.76 / $190.96	Professional		$147.83	$148.76	$190.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $166.58 / $238.76	Professional		$117.42	$166.58	$238.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $187.80 / $332.19	Professional		$125.00	$187.80	$332.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $165.31 / $174.38	Professional		$164.20	$165.31	$174.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $187.80	Professional		$32.34	$32.34	$187.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $133.22 / $222.59	Professional		$100.05	$133.22	$222.59