Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $222.06 / $339.35	Professional		$192.77	$222.06	$339.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $333.56 / $483.30	Professional		$293.45	$333.56	$483.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $198.79 / $198.79	Professional		$198.79	$198.79	$198.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $276.30 / $782.60	Professional		$188.44	$276.30	$782.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.57 / $268.29 / $288.20	Professional		$256.57	$268.29	$288.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $325.88	Professional		$32.34	$32.34	$325.88
United Facility/Professional Professional Modifier Low / Median / High Price $194.64 / $298.85 / $530.83	Professional		$194.64	$298.85	$530.83