Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $38.58 / $38.58	Facility		$38.58	$38.58	$38.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $38.58 / $60.06	Professional		$30.16	$38.58	$60.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $150.63 / $645.92	Facility		$89.04	$150.63	$645.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $82.17	Facility		$41.91	$41.91	$82.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $87.00	Professional		$30.59	$41.91	$87.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $87.38 / $107.06	Professional		$69.63	$87.38	$107.06
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 $97.59 / $97.59 / $97.59	Professional		$97.59	$97.59	$97.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $56.58 / $59.40	Professional		$39.60	$56.58	$59.40
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $37.45 / $78.03	Professional		$27.89	$37.45	$78.03