Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $39.17 / $39.17	Facility		$39.17	$39.17	$39.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $39.17 / $69.70	Professional		$32.53	$39.17	$69.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $176.20 / $611.32	Facility		$82.68	$176.20	$611.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $76.73	Facility		$37.70	$37.70	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $32.04 / $70.73	Professional		$28.46	$32.04	$70.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $86.42 / $111.62	Professional		$69.75	$86.42	$111.62
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 $90.68 / $90.68 / $90.68	Professional		$90.68	$90.68	$90.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $97.65 / $104.63	Professional		$87.19	$97.65	$104.63
United Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $34.51 / $61.10	Professional		$24.65	$34.51	$61.10