Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $128.08 / $241.38	Professional		$38.81	$128.08	$241.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $129.88 / $260.52	Professional		$45.84	$129.88	$260.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $100.55 / $284.02	Professional		$42.70	$100.55	$284.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $205.91 / $371.02	Professional		$53.86	$205.91	$371.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $50.01 / $205.61	Professional		$48.52	$50.01	$205.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.50	Professional		$32.34	$32.34	$232.50
United Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $189.28 / $332.35	Professional		$127.14	$189.28	$332.35