Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $78.53	Facility		$38.54	$38.54	$78.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.40	Professional		$38.54	$38.54	$42.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $106.79 / $520.89	Facility		$38.40	$106.79	$520.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $49.19	Professional		$38.54	$38.54	$49.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $48.95 / $93.38	Professional		$34.31	$48.95	$93.38
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $74.20	Professional		$30.00	$40.00	$74.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.25	Professional		$38.54	$38.54	$42.25