Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $334.88 / $488.02	Professional		$295.52	$334.88	$488.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.55 / $517.79 / $750.94	Professional		$455.55	$517.79	$750.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $309.19 / $309.19	Professional		$309.19	$309.19	$309.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $292.51 / $429.32 / $1,648.27	Professional		$292.51	$429.32	$1,648.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.66 / $417.86 / $447.37	Professional		$398.66	$417.86	$447.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $505.87	Professional		$32.34	$32.34	$505.87
United Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $525.48 / $850.68	Professional		$368.47	$525.48	$850.68