Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $72.44	Professional		$43.65	$50.12	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $74.13	Professional		$53.70	$61.66	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $95.50	Professional		$28.18	$60.26	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $138.04	Professional		$44.67	$69.18	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $63.10	Professional		$58.88	$60.26	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $93.33	Professional		$33.88	$52.48	$93.33