Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $33.09 / $33.09	Facility		$33.09	$33.09	$33.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $33.09 / $51.50	Professional		$25.85	$33.09	$51.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $129.12 / $553.89	Facility		$76.31	$129.12	$553.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $70.47	Facility		$38.36	$38.36	$70.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $74.63	Professional		$28.00	$38.36	$74.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $86.65 / $103.97	Professional		$64.37	$86.65	$103.97
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 $83.68 / $83.68 / $83.68	Professional		$83.68	$83.68	$83.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $48.51 / $50.93	Professional		$33.95	$48.51	$50.93
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $31.96 / $55.13	Professional		$23.91	$31.96	$55.13