Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $120.53 / $184.25	Professional		$104.65	$120.53	$184.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $183.71 / $266.20	Professional		$161.62	$183.71	$266.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Professional		$109.51	$109.51	$109.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $152.19 / $529.76	Professional		$108.53	$152.19	$529.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $147.82 / $158.72	Professional		$141.32	$147.82	$158.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.04	Professional		$32.34	$32.34	$166.04
United Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $165.28 / $286.55	Professional		$119.97	$165.28	$286.55