Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $46.77	Facility		$36.31	$36.31	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $588.84 / $933.25	Facility		$204.17	$588.84	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,288.25	Professional		$199.53	$1,047.13	$1,288.25
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 $47.86 / $64.57 / $1,445.44	Facility		$47.86	$64.57	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $40.74	Professional		$37.15	$37.15	$40.74