Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $38.90	Facility		$36.31	$36.31	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $44.67	Professional		$28.18	$34.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Facility		$229.09	$257.04	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $51.29	Professional		$35.48	$35.48	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $151.36 / $346.74	Professional		$57.54	$151.36	$346.74
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 $30.20 / $30.20 / $2,511.89	Professional		$30.20	$30.20	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $501.19	Facility		$181.97	$181.97	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $83.18	Professional		$37.15	$50.12	$83.18