Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.56 / $268.56 / $268.56	Facility		$268.56	$268.56	$268.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $269.57 / $388.44	Professional		$224.64	$269.57	$388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $33.79 / $33.79	Professional		$33.79	$33.79	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $558.75 / $709.61	Professional		$34.33	$558.75	$709.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $100.00 / $345.40	Professional		$51.63	$100.00	$345.40
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 $87.82 / $119.44 / $131.72	Professional		$87.82	$119.44	$131.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $26.59 / $51.63	Professional		$17.89	$26.59	$51.63