Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $30.08 / $56.76	Facility		$23.01	$30.08	$56.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $31.96	Professional		$30.08	$30.08	$31.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $298.54 / $552.72	Facility		$140.62	$298.54	$552.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $110.90 / $143.19	Professional		$82.40	$110.90	$143.19
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $42.11	Professional		$37.60	$37.60	$42.11