Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $76.80 / $128.63	Facility		$38.40	$76.80	$128.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $38.40 / $40.79	Professional		$38.40	$38.40	$40.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $100.80 / $473.35	Facility		$56.00	$100.80	$473.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $32.61 / $120.00	Professional		$23.08	$32.61	$120.00
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 $43.32 / $43.32 / $43.32	Professional		$43.32	$43.32	$43.32
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $53.05	Professional		$50.00	$50.00	$53.05