Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $127.88 / $180.11	Professional		$114.52	$127.88	$180.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $155.79 / $186.52	Professional		$137.62	$155.79	$186.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $161.31 / $238.34	Professional		$116.29	$161.31	$238.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $174.84 / $290.50	Professional		$116.20	$174.84	$290.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.06 / $152.80 / $161.32	Professional		$151.06	$152.80	$161.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.73	Professional		$32.34	$32.34	$173.73
United Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $162.77 / $261.67	Professional		$117.32	$162.77	$261.67