Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $49.50 / $64.34	Facility		$36.85	$49.50	$64.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $49.50 / $70.00	Professional		$36.85	$49.50	$70.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $65.23 / $113.80	Professional		$39.97	$65.23	$113.80
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 $64.34 / $64.34 / $64.34	Professional		$64.34	$64.34	$64.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $38.69	Professional		$30.00	$30.00	$38.69
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $51.38 / $53.40	Professional		$43.54	$51.38	$53.40