Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $150.88 / $183.76	Professional		$81.48	$150.88	$183.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $334.89 / $334.89	Professional		$178.61	$334.89	$334.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $261.33	Professional		$86.76	$86.76	$261.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $189.77 / $275.39	Professional		$142.88	$189.77	$275.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $312.56 / $2,500.00	Professional		$303.63	$312.56	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $105.98 / $201.38	Professional		$70.59	$105.98	$201.38