Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.89 / $102.89 / $102.89	Facility		$102.89	$102.89	$102.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $37.36 / $43.97	Professional		$36.06	$37.36	$43.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $33.86 / $37.36	Professional		$30.34	$33.86	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $48.50	Professional		$23.12	$23.12	$48.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $65.95 / $135.12	Professional		$41.79	$65.95	$135.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $64.64 / $65.95	Professional		$59.80	$64.64	$65.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $24.18 / $43.97	Professional		$16.14	$24.18	$43.97