Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $144.54	Professional		$45.71	$75.86	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $158.49	Professional		$58.88	$93.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $144.54	Professional		$52.48	$85.11	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $257.04	Professional		$66.07	$125.89	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $109.65	Professional		$58.88	$63.10	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $123.03	Professional		$32.36	$32.36	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $134.90	Professional		$48.98	$79.43	$134.90