Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $165.96	Facility		$77.62	$114.82	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $100.00	Professional		$63.10	$74.13	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $549.54 / $1,047.13	Facility		$204.17	$549.54	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $85.11	Professional		$25.70	$54.95	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $346.74	Professional		$74.13	$125.89	$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 $19.05 / $19.05 / $2,511.89	Professional		$19.05	$19.05	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $89.13	Professional		$40.74	$54.95	$89.13