Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $83.18	Professional		$25.70	$38.02	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $104.71	Professional		$64.57	$72.44	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $67.61	Professional		$41.69	$41.69	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $223.87 / $1,148.15	Professional		$42.66	$223.87	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $63.10	Professional		$54.95	$54.95	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $363.08	Professional		$34.67	$58.88	$363.08