Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $166.61 / $254.27	Professional		$144.50	$166.61	$254.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $253.40 / $401.35	Professional		$218.93	$253.40	$401.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.88 / $150.88 / $150.88	Professional		$150.88	$150.88	$150.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $209.82 / $722.40	Professional		$143.15	$209.82	$722.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $203.50 / $218.93	Professional		$194.83	$203.50	$218.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.56	Professional		$32.34	$32.34	$247.56
United Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $217.91 / $463.05	Professional		$160.08	$217.91	$463.05