Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $46.86 / $89.15	Facility		$40.75	$46.86	$89.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $43.30	Professional		$40.75	$40.75	$43.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.88 / $280.80 / $893.36	Facility		$126.88	$280.80	$893.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $62.44 / $200.00	Professional		$38.36	$62.44	$200.00
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 $40.00 / $2,500.00 / $2,500.00	Professional		$40.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $42.86 / $46.25	Professional		$40.53	$42.86	$46.25