Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $149.97 / $309.56	Professional		$128.52	$149.97	$309.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $145.31 / $192.29	Professional		$135.29	$145.31	$192.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.51 / $176.89 / $252.36	Professional		$129.51	$176.89	$252.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $180.85 / $308.93	Professional		$125.01	$180.85	$308.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $158.69 / $170.34	Professional		$151.68	$158.69	$170.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.55	Professional		$32.34	$32.34	$196.55
United Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $155.60 / $276.05	Professional		$114.88	$155.60	$276.05