Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $194.98	Professional		$104.71	$131.83	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $194.98	Professional		$64.57	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $257.04	Professional		$112.20	$158.49	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $416.87	Professional		$112.20	$186.21	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
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 $107.15 / $144.54 / $251.19	Professional		$107.15	$144.54	$251.19