Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $44.67	Professional		$22.91	$32.36	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $53.70 / $70.79	Facility		$39.81	$53.70	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $53.70	Professional		$36.31	$36.31	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $323.59	Professional		$204.17	$275.42	$323.59
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 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $51.29	Professional		$19.05	$28.84	$51.29