Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $40.56 / $40.56	Facility		$40.56	$40.56	$40.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $60.58 / $66.45	Professional		$40.56	$60.58	$66.45
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 / $50.75 / $104.42	Facility		$50.12	$50.75	$104.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $116.78 / $213.96	Professional		$83.59	$116.78	$213.96
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 $94.89 / $95.03 / $103.49	Professional		$94.89	$95.03	$103.49
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 $54.13 / $81.31 / $126.83	Professional		$54.13	$81.31	$126.83