Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $72.81 / $128.63	Professional		$45.38	$72.81	$128.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $101.78 / $169.80	Professional		$63.60	$101.78	$169.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $89.79 / $151.74	Professional		$47.69	$89.79	$151.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $123.76 / $541.82	Professional		$64.70	$123.76	$541.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $65.66 / $118.12	Professional		$60.09	$65.66	$118.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.56	Professional		$32.34	$32.34	$133.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $93.79 / $171.23	Professional		$65.45	$93.79	$171.23