Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $66.07	Facility		$40.74	$40.74	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $64.57	Professional		$30.90	$44.67	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $213.80 / $724.44	Facility		$117.49	$213.80	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $85.11	Professional		$45.71	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $51.29	Professional		$43.65	$43.65	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $169.82	Professional		$100.00	$125.89	$169.82
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $87.10	Facility		$43.65	$67.61	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $60.26	Professional		$28.18	$42.66	$60.26