Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $73.98 / $110.35	Facility		$42.28	$73.98	$110.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $47.00	Professional		$42.28	$42.28	$47.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $55.80 / $70.59	Facility		$19.11	$55.80	$70.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $101.13 / $195.07	Facility		$29.33	$101.13	$195.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $49.05 / $60.71	Professional		$42.28	$49.05	$60.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $59.19 / $113.23	Professional		$42.28	$59.19	$113.23
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $54.96 / $54.96	Professional		$54.96	$54.96	$54.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $30.00 / $52.85	Professional		$21.14	$30.00	$52.85
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $25.37 / $42.28	Professional		$17.76	$25.37	$42.28