Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $103.56 / $134.36	Professional		$91.67	$103.56	$134.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $116.29 / $175.55	Professional		$98.85	$116.29	$175.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $116.94 / $176.67	Professional		$67.23	$116.94	$176.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $133.99 / $211.70	Professional		$96.87	$133.99	$211.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $119.39 / $129.03	Professional		$114.67	$119.39	$129.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $148.88	Professional		$32.34	$32.34	$148.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $107.10 / $198.60	Professional		$81.22	$107.10	$198.60