Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $22.57 / $31.11	Professional		$17.45	$22.57	$31.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $29.55 / $39.90	Professional		$25.75	$29.55	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $26.50 / $40.90	Professional		$18.39	$26.50	$40.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.51 / $118.43	Professional		$18.23	$26.51	$118.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $21.78 / $23.53	Professional		$21.54	$21.78	$23.53
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 $19.10 / $27.80 / $48.78	Professional		$19.10	$27.80	$48.78