Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $80.73 / $96.47	Professional		$52.21	$80.73	$96.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $159.03 / $159.03	Professional		$84.82	$159.03	$159.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $124.23	Professional		$50.89	$50.89	$124.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $114.39 / $200.00	Professional		$90.12	$114.39	$200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $148.43 / $2,500.00	Professional		$144.19	$148.43	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $52.89 / $84.22	Professional		$41.41	$52.89	$84.22