Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $51.58 / $83.26	Facility		$51.58	$51.58	$83.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $48.75 / $120.00	Professional		$42.79	$48.75	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.56 / $223.77 / $288.68	Facility		$187.56	$223.77	$288.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $68.84 / $90.77	Professional		$47.32	$68.84	$90.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $164.38 / $212.73	Professional		$137.12	$164.38	$212.73
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $59.05 / $92.26	Professional		$43.89	$59.05	$92.26