Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $117.85 / $196.10	Professional		$64.28	$117.85	$196.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $166.92 / $220.82	Professional		$82.61	$166.92	$220.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $142.63 / $262.72	Professional		$70.58	$142.63	$262.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.83 / $210.48 / $459.61	Professional		$88.83	$210.48	$459.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $80.67 / $195.66	Professional		$79.18	$80.67	$195.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $221.25	Professional		$32.34	$32.34	$221.25
United Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $180.11 / $300.24	Professional		$142.53	$180.11	$300.24