Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $50.17 / $83.92	Professional		$40.68	$50.17	$83.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $49.75 / $120.03	Professional		$13.93	$49.75	$120.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $68.50 / $101.85	Professional		$43.31	$68.50	$101.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $87.15 / $189.04	Professional		$59.92	$87.15	$189.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $65.47 / $70.81	Professional		$63.71	$65.47	$70.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.34 / $74.08	Professional		$15.14	$32.34	$74.08
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $64.34 / $103.63	Professional		$47.77	$64.34	$103.63