Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $90.44 / $136.49	Professional		$60.11	$90.44	$136.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $111.15 / $129.69	Professional		$109.22	$111.15	$129.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $88.98 / $145.08	Professional		$88.98	$88.98	$145.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $124.33 / $470.80	Professional		$87.71	$124.33	$470.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $119.28 / $130.30	Professional		$115.45	$119.28	$130.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $147.34	Professional		$32.34	$32.34	$147.34
United Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $111.43 / $229.43	Professional		$59.01	$111.43	$229.43