Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $53.96 / $62.83	Professional		$27.91	$53.96	$62.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $116.49 / $116.49	Professional		$62.13	$116.49	$116.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $90.90	Professional		$29.38	$29.38	$90.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $69.36 / $112.22	Professional		$53.40	$69.36	$112.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $108.72 / $2,500.00	Professional		$105.62	$108.72	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $36.86 / $51.33	Professional		$23.91	$36.86	$51.33