Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Facility		$23.43	$23.43	$23.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $36.50 / $48.81	Professional		$23.43	$36.50	$48.81
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 $82.64 / $125.00 / $345.40	Professional		$82.64	$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 Professional Modifier Low / Median / High Price $42.95 / $60.58 / $100.63	Professional		$42.95	$60.58	$100.63