Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $22.68 / $35.63	Professional		$13.65	$22.68	$35.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $39.69 / $49.61	Professional		$28.70	$39.69	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $30.35 / $54.53	Professional		$17.98	$30.35	$54.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $33.00 / $69.17	Professional		$19.98	$33.00	$69.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.84 / $33.32	Professional		$18.16	$18.84	$33.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $37.68	Professional		$32.34	$32.34	$37.68
United Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $37.15 / $56.04	Professional		$25.35	$37.15	$56.04