Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $72.44	Facility		$36.31	$36.31	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $63.10	Professional		$30.20	$36.31	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $489.78	Facility		$85.11	$138.04	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Facility		$38.90	$38.90	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $77.62	Professional		$28.84	$28.84	$77.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $102.33	Professional		$66.07	$83.18	$102.33
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $53.70	Professional		$37.15	$37.15	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $102.33	Facility		$26.92	$56.23	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $53.70	Professional		$26.30	$35.48	$53.70