Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $29.33 / $29.33	Facility		$29.33	$29.33	$29.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $44.68 / $52.66	Professional		$29.33	$44.68	$52.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $35.02 / $45.18	Facility		$29.35	$35.02	$45.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $43.09 / $82.45	Facility		$35.74	$43.09	$82.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $64.00 / $76.68	Professional		$60.98	$64.00	$76.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $70.43 / $120.00	Professional		$50.66	$70.43	$120.00
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 $63.95 / $64.59 / $70.43	Professional		$63.95	$64.59	$70.43
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 $39.29 / $57.60 / $90.00	Professional		$39.29	$57.60	$90.00