Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $245.47	Professional		$151.36	$177.83	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $302.00	Professional		$186.21	$194.98	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $309.03	Professional		$141.25	$218.78	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $407.38	Professional		$165.96	$234.42	$407.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $213.80	Professional		$194.98	$199.53	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $331.13	Professional		$147.91	$194.98	$331.13