Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $217.95 / $364.23	Professional		$112.39	$217.95	$364.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $170.92 / $339.41	Professional		$102.79	$170.92	$339.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $210.83 / $349.57	Professional		$111.66	$210.83	$349.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $238.78 / $535.25	Professional		$111.66	$238.78	$535.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $112.91 / $243.95	Professional		$111.66	$112.91	$243.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $281.48	Professional		$32.34	$32.34	$281.48
United Facility/Professional Professional Modifier Low / Median / High Price $220.04 / $278.19 / $513.70	Professional		$220.04	$278.19	$513.70