Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $30.82 / $54.89	Facility		$30.82	$30.82	$54.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $31.87 / $48.06	Professional		$23.89	$31.87	$48.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $138.65 / $481.03	Facility		$65.59	$138.65	$481.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $32.94	Professional		$28.02	$28.02	$32.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $54.89 / $115.27	Professional		$43.00	$54.89	$115.27
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $71.36 / $71.36	Professional		$71.36	$71.36	$71.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $76.84 / $82.34	Professional		$25.14	$76.84	$82.34
United Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.38 / $47.01	Professional		$19.39	$27.38	$47.01