Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $58.63 / $116.15	Professional		$14.31	$58.63	$116.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $72.19 / $147.31	Professional		$17.57	$72.19	$147.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $71.51 / $136.53	Professional		$16.82	$71.51	$136.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $112.29 / $280.70	Professional		$22.33	$112.29	$280.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $19.51 / $100.84	Professional		$19.28	$19.51	$100.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $116.36	Professional		$32.34	$32.34	$116.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $99.46 / $171.38	Professional		$71.90	$99.46	$171.38