Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $48.78 / $87.17	Facility		$26.02	$48.78	$87.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $32.39	Professional		$26.02	$26.02	$32.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $130.58 / $421.59	Facility		$59.87	$130.58	$421.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $33.78 / $125.00	Professional		$24.72	$33.78	$125.00
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 $23.78 / $23.86 / $24.43	Professional		$23.78	$23.86	$24.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $28.75	Professional		$27.10	$27.10	$28.75