Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $239.88	Professional		$114.82	$141.25	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $128.82 / $234.42	Professional		$40.74	$128.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $512.86	Professional		$128.82	$199.53	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $1,348.96	Professional		$120.23	$218.78	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $154.88 / $165.96	Professional		$151.36	$154.88	$165.96
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 $134.90 / $208.93 / $380.19	Professional		$134.90	$208.93	$380.19