Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $70.70 / $87.21	Facility		$25.55	$70.70	$87.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $25.55 / $40.07	Professional		$24.05	$25.55	$40.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $115.49 / $553.41	Facility		$46.48	$115.49	$553.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $108.70 / $131.19	Professional		$64.15	$108.70	$131.19
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $50.02	Professional		$47.14	$47.14	$50.02