Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $76.42 / $106.55	Professional		$58.47	$76.42	$106.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $86.87 / $179.28	Professional		$22.14	$86.87	$179.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $98.80 / $154.78	Professional		$57.20	$98.80	$154.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $120.00 / $198.33	Professional		$74.17	$120.00	$198.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $105.51 / $114.54	Professional		$103.13	$105.51	$114.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $32.34 / $119.83	Professional		$27.15	$32.34	$119.83
United Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $74.64 / $131.66	Professional		$56.36	$74.64	$131.66