Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $57.63 / $98.74	Professional		$51.40	$57.63	$98.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.69 / $85.69 / $126.20	Professional		$85.69	$85.69	$126.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $85.86 / $136.11	Professional		$56.49	$85.86	$136.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $81.42 / $245.43	Professional		$57.24	$81.42	$245.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $68.95 / $74.41	Professional		$66.16	$68.95	$74.41
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 $63.76 / $96.47 / $155.06	Professional		$63.76	$96.47	$155.06