Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $52.48	Professional		$46.77	$46.77	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $645.65	Facility		$81.28	$165.96	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $70.79	Professional		$41.69	$56.23	$70.79
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 $63.10 / $67.61 / $74.13	Professional		$63.10	$67.61	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $89.13	Facility		$50.12	$50.12	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10