Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $46.28 / $46.28	Facility		$46.28	$46.28	$46.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $51.13 / $72.69	Professional		$46.28	$51.13	$72.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $55.93 / $68.79	Facility		$44.70	$55.93	$68.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.58 / $104.42	Facility		$50.12	$54.58	$104.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $345.40	Professional		$100.00	$200.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $69.19 / $111.56	Professional		$44.39	$69.19	$111.56