Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $234.42	Professional		$112.20	$128.82	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $186.21	Professional		$138.04	$154.88	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $257.04	Professional		$117.49	$162.18	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $281.84	Professional		$117.49	$177.83	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
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 $117.49 / $154.88 / $257.04	Professional		$117.49	$154.88	$257.04