Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $38.72 / $65.79	Facility		$29.50	$38.72	$65.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $32.57	Professional		$29.50	$29.50	$32.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $84.53 / $412.68	Facility		$30.40	$84.53	$412.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $41.00	Professional		$41.00	$41.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $31.35 / $31.35	Facility		$31.35	$31.35	$31.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $35.18	Professional		$31.35	$31.35	$35.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $83.17 / $107.40	Professional		$27.04	$83.17	$107.40
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 $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $32.57 / $34.21	Professional		$30.73	$32.57	$34.21