Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $31.17 / $57.98	Professional		$16.94	$31.17	$57.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $34.97 / $60.86	Professional		$19.78	$34.97	$60.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.24 / $72.11	Professional		$20.42	$39.24	$72.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $49.57 / $128.59	Professional		$24.98	$49.57	$128.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $21.97 / $40.60	Professional		$21.78	$21.97	$40.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.91	Professional		$32.34	$32.34	$45.91
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $54.33 / $81.93	Professional		$30.43	$54.33	$81.93