Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $125.53 / $193.26	Professional		$105.91	$125.53	$193.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $183.05 / $239.00	Professional		$139.58	$183.05	$239.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $153.86 / $247.21	Professional		$111.37	$153.86	$247.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $169.02 / $327.02	Professional		$118.31	$169.02	$327.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $133.61 / $146.47	Professional		$130.43	$133.61	$146.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.64	Professional		$32.34	$32.34	$165.64
United Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $138.35 / $222.30	Professional		$112.01	$138.35	$222.30