Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $770.70 / $2,807.70	Facility		$336.00	$770.70	$2,807.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.73 / $22.90	Professional		$10.08	$10.73	$22.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $332.70 / $356.10	Professional		$161.53	$332.70	$356.10
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 $55.92 / $83.89 / $144.00	Professional		$55.92	$83.89	$144.00