Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $71.00 / $199.04	Professional		$17.39	$71.00	$199.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $29.00 / $31.00	Professional		$25.00	$29.00	$31.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $23.35 / $35.82	Professional		$21.34	$23.35	$35.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $34.14 / $58.38	Professional		$23.47	$34.14	$58.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.74 / $30.36	Professional		$27.68	$27.74	$30.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $25.22 / $35.97	Professional		$13.89	$25.22	$35.97