Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $46.12 / $71.98	Facility		$46.12	$46.12	$71.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $46.12 / $74.05	Professional		$41.47	$46.12	$74.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $44.04 / $160.44	Facility		$19.20	$44.04	$160.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $37.95 / $92.63	Professional		$27.70	$37.95	$92.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $180.96 / $193.57	Professional		$133.69	$180.96	$193.57
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 / $52.81 / $61.61	Professional		$40.00	$52.81	$61.61
United Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $54.89 / $96.66	Professional		$44.03	$54.89	$96.66