Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $36.74 / $37.76	Facility		$36.74	$36.74	$37.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $36.74 / $39.49	Professional		$29.17	$36.74	$39.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.88 / $308.86 / $398.46	Facility		$258.88	$308.86	$398.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Facility		$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $51.68	Professional		$35.19	$35.19	$51.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $133.30 / $345.40	Professional		$67.20	$133.30	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $50.81 / $91.27	Professional		$38.34	$50.81	$91.27