Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $39.79 / $39.79	Facility		$39.79	$39.79	$39.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $61.60 / $71.31	Professional		$41.98	$61.60	$71.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $223.77 / $288.68	Facility		$187.56	$223.77	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $79.79 / $79.79	Facility		$79.79	$79.79	$79.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $82.20 / $333.64	Professional		$58.37	$82.20	$333.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $345.40 / $345.40	Professional		$117.00	$345.40	$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 $65.61 / $91.54 / $151.78	Professional		$65.61	$91.54	$151.78