Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $72.50 / $133.81	Professional		$45.23	$72.50	$133.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $90.77 / $154.54	Professional		$57.04	$90.77	$154.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $83.02 / $144.24	Professional		$50.72	$83.02	$144.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $114.11 / $240.86	Professional		$65.48	$114.11	$240.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.80 / $105.35	Professional		$60.16	$60.80	$105.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.56	Professional		$32.34	$32.34	$121.56
United Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $93.52 / $166.93	Professional		$68.29	$93.52	$166.93