Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $71.73 / $237.59	Facility		$28.00	$71.73	$237.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $70.39 / $76.66	Professional		$13.60	$70.39	$76.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $48.62 / $199.58	Facility		$28.80	$48.62	$199.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $49.90 / $120.00	Professional		$37.08	$49.90	$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 $12.26 / $12.26 / $12.26	Professional		$12.26	$12.26	$12.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.98	Professional		$16.00	$16.00	$16.98