Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $90.71 / $174.97	Professional		$45.13	$90.71	$174.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $110.89 / $182.92	Professional		$64.89	$110.89	$182.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $99.64 / $184.60	Professional		$57.06	$99.64	$184.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $149.24 / $576.86	Professional		$75.56	$149.24	$576.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $65.66 / $138.58	Professional		$59.09	$65.66	$138.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.69	Professional		$32.34	$32.34	$156.69
United Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $125.86 / $212.53	Professional		$84.85	$125.86	$212.53