Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $51.37 / $84.36	Facility		$36.47	$51.37	$84.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $40.28	Professional		$36.47	$36.47	$40.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.80 / $106.37 / $507.30	Facility		$69.80	$106.37	$507.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $43.49	Professional		$38.76	$38.76	$43.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $125.87 / $160.08	Professional		$92.11	$125.87	$160.08
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 $40.28 / $56.39 / $60.42	Professional		$40.28	$56.39	$60.42
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.28 / $43.36	Professional		$38.00	$40.28	$43.36