Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $151.36	Professional		$40.74	$77.62	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $112.20	Professional		$67.61	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $151.36	Professional		$51.29	$93.33	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $223.87	Professional		$61.66	$97.72	$223.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $81.28	Professional		$72.44	$77.62	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $169.82	Professional		$45.71	$89.13	$169.82