Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $85.55 / $125.05	Professional		$62.33	$85.55	$125.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $124.61 / $178.45	Professional		$78.81	$124.61	$178.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $102.84 / $334.50	Professional		$65.54	$102.84	$334.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $85.20 / $133.69	Professional		$80.81	$85.20	$133.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $154.26	Professional		$32.34	$32.34	$154.26
United Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $128.43 / $212.07	Professional		$89.77	$128.43	$212.07