Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $111.61 / $152.72	Professional		$86.10	$111.61	$152.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $214.82 / $214.82	Professional		$114.57	$214.82	$214.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $68.73 / $167.79	Professional		$68.73	$68.73	$167.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $148.51 / $225.12	Professional		$112.78	$148.51	$225.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.77 / $200.49 / $2,500.00	Professional		$194.77	$200.49	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $71.45 / $103.68	Professional		$55.94	$71.45	$103.68