Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $34.24 / $34.24	Facility		$34.24	$34.24	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $55.56 / $113.19	Professional		$34.24	$55.56	$113.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $56.14 / $72.41	Facility		$47.04	$56.14	$72.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $58.04 / $111.05	Facility		$48.63	$58.04	$111.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $49.80 / $109.36	Professional		$36.93	$49.80	$109.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$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 Facility Modifier Low / Median / High Price $290.00 / $2,873.00 / $6,650.00	Facility		$290.00	$2,873.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $92.70 / $143.84	Professional		$72.30	$92.70	$143.84