Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $245.47 / $954.99	Facility		$30.90	$245.47	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $97.72	Professional		$28.18	$28.84	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $288.40 / $512.86	Facility		$120.23	$288.40	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $416.87	Professional		$199.53	$338.84	$416.87
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $48.98	Facility		$30.20	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Professional		$30.20	$30.20	$32.36