Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $36.54 / $36.54	Facility		$36.54	$36.54	$36.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $52.21 / $93.19	Professional		$36.54	$52.21	$93.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.19 / $138.72 / $295.83	Facility		$105.19	$138.72	$295.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $142.91 / $268.05	Facility		$68.59	$142.91	$268.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $134.90 / $230.73	Professional		$56.95	$134.90	$230.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $119.85 / $345.40	Professional		$101.87	$119.85	$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 Professional Modifier Low / Median / High Price $46.23 / $67.73 / $105.26	Professional		$46.23	$67.73	$105.26