Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $62.69 / $69.39	Professional		$41.14	$62.69	$69.39
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 / $54.58 / $104.42	Facility		$50.12	$54.58	$104.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $345.40	Professional		$100.00	$125.00	$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 $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $89.91 / $143.90	Professional		$59.19	$89.91	$143.90