Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $144.44 / $256.60	Professional		$129.01	$144.44	$256.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.88 / $220.26 / $304.67	Professional		$206.88	$220.26	$304.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $207.27 / $356.87	Professional		$137.06	$207.27	$356.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $193.45 / $339.04	Professional		$135.83	$193.45	$339.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $166.60 / $179.63	Professional		$160.52	$166.60	$179.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $147.29 / $203.08 / $380.64	Professional		$147.29	$203.08	$380.64