Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $53.28 / $121.63	Facility		$26.80	$53.28	$121.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $35.52 / $44.23	Professional		$35.52	$35.52	$44.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.72 / $261.36 / $838.23	Facility		$171.72	$261.36	$838.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Facility		$37.74	$37.74	$37.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $127.68 / $157.44	Professional		$56.56	$127.68	$157.44
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 $6.64 / $6.83 / $49.28	Professional		$6.64	$6.83	$49.28
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $49.47	Professional		$37.00	$37.00	$49.47