Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $73.36 / $102.38	Professional		$58.92	$73.36	$102.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $105.75 / $127.69	Professional		$78.38	$105.75	$127.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $105.45 / $159.61	Professional		$67.73	$105.45	$159.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $145.11 / $247.85	Professional		$96.74	$145.11	$247.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $126.88 / $134.41	Professional		$125.76	$126.88	$134.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $144.76	Professional		$32.34	$32.34	$144.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $82.13 / $124.69	Professional		$69.44	$82.13	$124.69