Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $72.61 / $133.30	Professional		$45.28	$72.61	$133.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $94.02 / $158.96	Professional		$59.18	$94.02	$158.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $86.12 / $147.68	Professional		$53.00	$86.12	$147.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $121.17 / $240.86	Professional		$67.20	$121.17	$240.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $62.40 / $109.12	Professional		$59.36	$62.40	$109.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $125.91	Professional		$32.34	$32.34	$125.91
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $95.87 / $163.21	Professional		$71.37	$95.87	$163.21