Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $80.31 / $147.40	Facility		$39.65	$80.31	$147.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $49.38	Professional		$39.65	$39.65	$49.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $90.10 / $413.50	Facility		$53.38	$90.10	$413.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $95.09 / $125.00	Professional		$72.08	$95.09	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $43.83	Professional		$41.31	$41.31	$43.83