Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $5,163.42 / $9,973.09	Facility		$29.91	$5,163.42	$9,973.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $31.21	Professional		$29.91	$29.91	$31.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $27.70 / $31.16	Professional		$27.70	$27.70	$31.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $41.87 / $76.30	Professional		$26.00	$41.87	$76.30
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 $38.88 / $38.88 / $38.88	Professional		$38.88	$38.88	$38.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.59 / $36.71	Professional		$30.00	$30.59	$36.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $31.73	Professional		$29.91	$29.91	$31.73