Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $235.86 / $386.50	Professional		$193.04	$235.86	$386.50
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 / $927.08	Professional		$188.44	$276.30	$927.08
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 $215.57 / $306.50 / $524.35	Professional		$215.57	$306.50	$524.35