Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $15.94 / $26.41	Professional		$14.73	$15.94	$26.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $26.97 / $36.25	Professional		$24.62	$26.97	$36.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $24.19 / $32.93	Professional		$16.78	$24.19	$32.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $24.19 / $77.78	Professional		$16.63	$24.19	$77.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $19.79 / $21.37	Professional		$19.66	$19.79	$21.37
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 $14.73 / $21.12 / $38.40	Professional		$14.73	$21.12	$38.40