Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $216.53 / $380.00	Professional		$75.15	$216.53	$380.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.45 / $304.68 / $331.76	Professional		$270.45	$304.68	$331.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.48 / $360.11 / $498.81	Professional		$209.48	$360.11	$498.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $242.94 / $370.33 / $839.59	Professional		$242.94	$370.33	$839.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $310.60 / $323.00 / $346.78	Professional		$310.60	$323.00	$346.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.10 / $362.78 / $400.13	Professional		$328.10	$362.78	$400.13
United Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $108.00 / $207.48	Professional		$71.78	$108.00	$207.48