Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $691.83 / $2,691.53	Facility		$338.84	$691.83	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $19.95	Professional		$10.23	$11.22	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $371.54	Professional		$158.49	$316.23	$371.54
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Facility		$63.10	$63.10	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $117.49	Professional		$56.23	$83.18	$117.49