Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $159.41 / $196.72	Professional		$86.28	$159.41	$196.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.61 / $327.39 / $327.39	Professional		$174.61	$327.39	$327.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $255.66	Professional		$91.84	$91.84	$255.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $218.26 / $327.39	Professional		$171.88	$218.26	$327.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $305.56 / $2,500.00	Professional		$296.83	$305.56	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $108.89 / $192.81	Professional		$74.73	$108.89	$192.81