Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Facility		$36.25	$36.25	$36.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $36.25 / $47.65	Professional		$28.31	$36.25	$47.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.27 / $142.57 / $606.84	Facility		$84.27	$142.57	$606.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $77.17	Facility		$39.35	$39.35	$77.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.34 / $81.75	Professional		$28.73	$39.34	$81.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $83.47 / $102.75	Professional		$66.81	$83.47	$102.75
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 $91.69 / $91.69 / $91.69	Professional		$91.69	$91.69	$91.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $53.16 / $55.81	Professional		$37.21	$53.16	$55.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $35.00 / $58.64	Professional		$26.18	$35.00	$58.64