Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.63 / $43.03	Professional		$20.32	$25.63	$43.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $40.19 / $44.63	Professional		$25.31	$40.19	$44.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $56.86 / $104.41	Professional		$36.44	$56.86	$104.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $33.95 / $382.74	Professional		$22.23	$33.95	$382.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $27.11 / $29.67	Professional		$26.27	$27.11	$29.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $32.34 / $33.54	Professional		$28.07	$32.34	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $33.26 / $54.79	Professional		$23.09	$33.26	$54.79