Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $28.73 / $28.73	Facility		$28.73	$28.73	$28.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $28.73 / $44.84	Professional		$25.84	$28.73	$44.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $367.00 / $1,337.00	Facility		$160.00	$367.00	$1,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $42.26 / $57.75	Professional		$36.27	$42.26	$57.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $108.57 / $119.19	Professional		$80.20	$108.57	$119.19
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 $51.21 / $65.85 / $76.82	Professional		$51.21	$65.85	$76.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $34.20 / $59.23	Professional		$27.43	$34.20	$59.23