Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $371.54 / $1,096.48	Facility		$8.91	$371.54	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $114.82	Facility		$87.10	$97.72	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $346.74	Professional		$120.23	$199.53	$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 $51.29 / $51.29 / $190.55	Facility		$51.29	$51.29	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62