Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $119.81 / $214.07	Facility		$63.90	$119.81	$214.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $79.55	Professional		$63.90	$63.90	$79.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $79.67 / $356.09	Facility		$43.20	$79.67	$356.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $163.05 / $214.80	Professional		$100.00	$163.05	$214.80
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 $66.56 / $66.56 / $71.89	Professional		$66.56	$66.56	$71.89