Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $120.84 / $204.88	Professional		$106.56	$120.84	$204.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $183.71 / $291.13	Professional		$158.72	$183.71	$291.13
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 $104.65 / $152.19 / $421.40	Professional		$104.65	$152.19	$421.40
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 $122.80 / $169.42 / $263.20	Professional		$122.80	$169.42	$263.20