Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.51 / $139.47 / $223.57	Professional		$122.51	$139.47	$223.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.99 / $207.99 / $231.90	Professional		$130.99	$207.99	$231.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.58 / $162.79 / $269.56	Professional		$116.58	$162.79	$269.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $165.95 / $461.69	Professional		$115.53	$165.95	$461.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $142.34 / $153.54	Professional		$136.54	$142.34	$153.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $173.62	Professional		$32.34	$32.34	$173.62
United Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $154.19 / $263.02	Professional		$107.92	$154.19	$263.02