Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $65.15 / $164.65	Professional		$33.44	$65.15	$164.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $57.06 / $63.59	Professional		$34.39	$57.06	$63.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $47.44 / $102.07	Professional		$31.16	$47.44	$102.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $44.91 / $232.74	Professional		$31.01	$44.91	$232.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $37.47 / $40.31	Professional		$36.49	$37.47	$40.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $61.41 / $89.00	Professional		$36.43	$61.41	$89.00