Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $125.89	Professional		$33.11	$48.98	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $74.13	Professional		$39.81	$70.79	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $67.61	Professional		$34.67	$52.48	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $199.53	Professional		$37.15	$58.88	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $45.71	Professional		$39.81	$41.69	$45.71
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 $31.62 / $45.71 / $70.79	Professional		$31.62	$45.71	$70.79