Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $106.40 / $126.55	Facility		$52.29	$106.40	$126.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $49.86 / $106.40	Professional		$46.82	$49.86	$106.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $62.76 / $583.30	Facility		$22.54	$62.76	$583.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $145.43 / $279.95	Facility		$29.89	$145.43	$279.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $66.88 / $88.64	Professional		$8.53	$66.88	$88.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $74.34 / $121.60	Professional		$40.52	$74.34	$121.60
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 $79.04 / $79.04 / $79.04	Professional		$79.04	$79.04	$79.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $30.40 / $60.80	Professional		$6.56	$30.40	$60.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $25.54 / $60.80	Professional		$9.27	$25.54	$60.80