Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $144.54	Professional		$56.23	$75.86	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $87.10 / $169.82	Professional		$22.39	$87.10	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $158.49	Professional		$56.23	$95.50	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $199.53	Professional		$70.79	$128.82	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $114.82	Professional		$102.33	$104.71	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $123.03	Professional		$54.95	$74.13	$123.03