Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $15.42	Facility		$15.42	$15.42	$15.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $23.97 / $28.21	Professional		$15.42	$23.97	$28.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $98.00 / $247.27	Facility		$53.32	$98.00	$247.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.58 / $104.42	Facility		$50.12	$54.58	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $33.06 / $33.06	Professional		$27.60	$33.06	$33.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $120.00 / $345.40	Professional		$50.31	$120.00	$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 $785.00 / $2,873.00 / $7,384.00	Facility		$785.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $32.04 / $50.46	Professional		$22.50	$32.04	$50.46