Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $84.55 / $264.44	Facility		$42.84	$84.55	$264.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $67.01 / $85.06	Professional		$42.84	$67.01	$85.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $84.95 / $109.59	Facility		$71.20	$84.95	$109.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.31 / $88.53 / $169.38	Facility		$82.31	$88.53	$169.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $59.82 / $92.03	Professional		$46.91	$59.82	$92.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $57.81 / $109.80	Professional		$41.82	$57.81	$109.80
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 $48.71 / $49.92 / $53.30	Professional		$48.71	$49.92	$53.30
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 $44.69 / $68.81 / $137.52	Professional		$44.69	$68.81	$137.52