Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $128.69 / $165.54	Professional		$100.16	$128.69	$165.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $122.09 / $195.02	Professional		$63.92	$122.09	$195.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $162.22 / $259.91	Professional		$114.62	$162.22	$259.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $169.62 / $376.53	Professional		$117.56	$169.62	$376.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $145.55 / $156.22	Professional		$143.12	$145.55	$156.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.48 / $163.43	Professional		$32.34	$54.48	$163.43
United Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $156.88 / $277.50	Professional		$104.81	$156.88	$277.50