Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $61.66	Professional		$16.98	$30.90	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $60.26	Professional		$19.95	$34.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $72.44	Professional		$19.95	$38.02	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $52.48 / $151.36	Professional		$25.70	$52.48	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $40.74	Professional		$21.88	$21.88	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $40.74 / $69.18	Professional		$19.50	$40.74	$69.18