Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $65.45 / $108.94	Professional		$42.75	$65.45	$108.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $93.26 / $144.26	Professional		$58.85	$93.26	$144.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $85.05 / $134.53	Professional		$54.73	$85.05	$134.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $114.16 / $250.97	Professional		$65.72	$114.16	$250.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $61.02 / $104.73	Professional		$56.32	$61.02	$104.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.84	Professional		$32.34	$32.34	$120.84
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $97.79 / $151.82	Professional		$63.70	$97.79	$151.82