Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $72.00 / $121.32	Facility		$36.00	$72.00	$121.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $47.06	Professional		$36.00	$36.00	$47.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $205.54 / $649.40	Facility		$92.23	$205.54	$649.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $51.96 / $120.00	Professional		$4.30	$51.96	$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 $31.60 / $32.48 / $36.05	Professional		$31.60	$32.48	$36.05
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $41.11	Professional		$37.50	$37.50	$41.11