Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.74 / $140.08 / $232.34	Professional		$121.74	$140.08	$232.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $112.28 / $242.74	Professional		$40.28	$112.28	$242.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $199.11 / $517.99	Professional		$128.46	$199.11	$517.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $185.52 / $1,302.69	Professional		$125.00	$185.52	$1,302.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $154.43 / $165.93	Professional		$150.44	$154.43	$165.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.43 / $173.59	Professional		$32.34	$48.43	$173.59
United Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $211.15 / $365.65	Professional		$132.15	$211.15	$365.65