Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $34.51 / $52.76	Facility		$28.52	$34.51	$52.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $31.66	Professional		$28.52	$28.52	$31.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $122.83 / $585.79	Facility		$80.59	$122.83	$585.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $33.63	Professional		$28.52	$28.52	$33.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $34.22 / $59.89	Professional		$24.24	$34.22	$59.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $37.08 / $37.08	Professional		$37.08	$37.08	$37.08
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 $28.52 / $30.23 / $34.51	Professional		$28.52	$30.23	$34.51