Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $59.06 / $91.04	Facility		$39.36	$59.06	$91.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $41.83	Professional		$39.36	$39.36	$41.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $77.50 / $501.60	Facility		$48.67	$77.50	$501.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $25.72 / $25.72	Facility		$25.72	$25.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $26.69	Professional		$21.86	$25.72	$26.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $100.00 / $200.00	Professional		$24.88	$100.00	$200.00
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $71.44 / $75.80	Professional		$62.87	$71.44	$75.80