Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $123.00 / $161.44	Facility		$53.69	$123.00	$161.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.69	Professional		$123.00	$123.00	$130.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $10.54 / $50.07	Facility		$8.61	$10.54	$50.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $59.85 / $71.81	Professional		$59.85	$59.85	$71.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $102.92 / $168.98	Professional		$91.44	$102.92	$168.98
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $138.38	Professional		$128.13	$128.13	$138.38