Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $80.77 / $133.63	Facility		$39.89	$80.77	$133.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $49.66	Professional		$39.89	$39.89	$49.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $150.66 / $633.96	Facility		$86.40	$150.66	$633.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $114.16 / $114.16	Facility		$114.16	$114.16	$114.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $27.96 / $200.00	Professional		$19.96	$27.96	$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 $45.26 / $45.26 / $45.26	Professional		$45.26	$45.26	$45.26
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $44.86	Professional		$42.28	$42.28	$44.86