Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $144.53	Facility		$71.55	$71.55	$144.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.13	Professional		$71.55	$71.55	$75.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $135.13 / $432.76	Facility		$61.46	$135.13	$432.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $84.38	Professional		$71.55	$71.55	$84.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $76.09 / $150.26	Professional		$59.68	$76.09	$150.26
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 $93.02 / $93.02 / $93.02	Professional		$93.02	$93.02	$93.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $105.18	Professional		$30.00	$40.00	$105.18
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.91	Professional		$71.55	$71.55	$75.91