Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $49.19 / $75.00	Professional		$39.13	$49.19	$75.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $73.28 / $79.42	Professional		$48.42	$73.28	$79.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $66.36 / $109.41	Professional		$44.28	$66.36	$109.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $100.25 / $174.66	Professional		$67.23	$100.25	$174.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $87.46 / $93.09	Professional		$86.59	$87.46	$93.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.25	Professional		$32.34	$32.34	$100.25
United Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $56.83 / $84.91	Professional		$45.72	$56.83	$84.91