Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Facility		$47.25	$47.25	$47.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $47.25 / $73.54	Professional		$36.94	$47.25	$73.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.71 / $185.61 / $791.04	Facility		$109.71	$185.61	$791.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $100.64	Facility		$57.03	$57.03	$100.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $57.03 / $106.50	Professional		$41.63	$57.03	$106.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $98.20 / $128.69	Professional		$73.73	$98.20	$128.69
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 $119.51 / $119.51 / $119.51	Professional		$119.51	$119.51	$119.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $69.30 / $72.76	Professional		$48.51	$69.30	$72.76
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.65 / $80.53	Professional		$34.15	$45.65	$80.53