Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $67.84 / $109.19	Professional		$47.37	$67.84	$109.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $81.14 / $109.94	Professional		$53.95	$81.14	$109.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $79.22 / $171.83	Professional		$52.15	$79.22	$171.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $91.50 / $313.35	Professional		$50.18	$91.50	$313.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $58.77 / $81.55	Professional		$58.03	$58.77	$81.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.21	Professional		$32.34	$32.34	$92.21
United Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $81.09 / $155.41	Professional		$60.49	$81.09	$155.41