Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $115.07 / $135.97	Professional		$86.32	$115.07	$135.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $214.31 / $214.31	Professional		$114.30	$214.31	$214.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $167.41	Professional		$58.29	$58.29	$167.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $142.87 / $207.16	Professional		$121.44	$142.87	$207.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $200.02 / $2,500.00	Professional		$194.30	$200.02	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $71.27 / $95.04	Professional		$47.52	$71.27	$95.04