Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $64.45 / $79.00	Professional		$31.08	$64.45	$79.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $105.67	Professional		$36.11	$36.11	$105.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $90.29 / $186.82	Professional		$67.72	$90.29	$186.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $126.41 / $2,500.00	Professional		$122.79	$126.41	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $43.64 / $79.76	Professional		$29.40	$43.64	$79.76