Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.52 / $168.18 / $262.64	Professional		$143.52	$168.18	$262.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $315.81 / $317.45	Professional		$249.65	$315.81	$317.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $210.10 / $365.39	Professional		$78.16	$210.10	$365.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $213.23 / $607.58	Professional		$138.93	$213.23	$607.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $177.68 / $195.09	Professional		$173.25	$177.68	$195.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.60	Professional		$32.34	$32.34	$220.60
United Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $213.47 / $323.32	Professional		$156.22	$213.47	$323.32