Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $83.54 / $160.90	Facility		$44.55	$83.54	$160.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $44.55 / $59.80	Professional		$44.55	$44.55	$59.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $48.14 / $766.17	Facility		$16.43	$48.14	$766.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $2,149.25 / $2,484.57	Professional		$36.39	$2,149.25	$2,484.57
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 $12.51 / $12.51 / $12.51	Professional		$12.51	$12.51	$12.51
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $62.05	Professional		$46.41	$46.41	$62.05