Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $109.18 / $155.90	Professional		$93.42	$109.18	$155.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.10 / $206.54 / $208.15	Professional		$155.10	$206.54	$208.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $135.37 / $222.51	Professional		$71.00	$135.37	$222.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $139.81 / $403.33	Professional		$93.59	$139.81	$403.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $116.49 / $127.60	Professional		$113.59	$116.49	$127.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.28	Professional		$32.34	$32.34	$144.28
United Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $133.32 / $196.95	Professional		$96.77	$133.32	$196.95