Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $76.00 / $186.97	Professional		$64.94	$76.00	$186.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $69.48 / $125.19	Professional		$23.94	$69.48	$125.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $108.45 / $235.63	Professional		$69.48	$108.45	$235.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $113.41 / $413.65	Professional		$77.97	$113.41	$413.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $84.66 / $92.14	Professional		$83.33	$84.66	$92.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $32.34 / $96.40	Professional		$29.35	$32.34	$96.40
United Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $121.88 / $204.18	Professional		$74.53	$121.88	$204.18