Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $57.48 / $95.07	Facility		$28.38	$57.48	$95.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $28.38 / $30.16	Professional		$28.38	$28.38	$30.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $106.02 / $446.12	Facility		$60.80	$106.02	$446.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $60.02 / $345.40	Professional		$29.48	$60.02	$345.40
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 $36.13 / $36.13 / $36.13	Professional		$36.13	$36.13	$36.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $31.93	Professional		$30.08	$30.08	$31.93