Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $41.93 / $63.72	Facility		$41.93	$41.93	$63.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $41.93 / $61.69	Professional		$30.74	$41.93	$61.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.51 / $228.74 / $904.21	Facility		$123.51	$228.74	$904.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $85.18 / $85.18	Professional		$45.75	$85.18	$85.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $51.03	Professional		$43.49	$43.49	$51.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $127.53 / $196.75	Professional		$95.79	$127.53	$196.75
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 $17.93 / $115.84 / $127.77	Professional		$17.93	$115.84	$127.77
United Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $42.49 / $74.61	Professional		$32.43	$42.49	$74.61