Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $44.23	Facility		$44.23	$44.23	$44.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $44.23 / $69.03	Professional		$39.77	$44.23	$69.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.80 / $525.83 / $3,422.72	Facility		$180.80	$525.83	$3,422.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $256.00 / $256.00	Professional		$256.00	$256.00	$256.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $114.00	Professional		$34.40	$47.13	$114.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $132.51 / $147.83	Professional		$99.49	$132.51	$147.83
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 / $68.73 / $80.18	Professional		$40.00	$68.73	$80.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $52.64 / $90.84	Professional		$42.23	$52.64	$90.84