Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $61.25 / $117.62	Professional		$41.29	$61.25	$117.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $77.26 / $130.66	Professional		$54.65	$77.26	$130.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $76.12 / $126.08	Professional		$49.12	$76.12	$126.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $98.36 / $243.02	Professional		$61.96	$98.36	$243.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $57.54 / $89.67	Professional		$52.68	$57.54	$89.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.47	Professional		$32.34	$32.34	$103.47
United Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $81.89 / $140.88	Professional		$60.21	$81.89	$140.88