Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $134.22	Facility		$45.70	$45.70	$134.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $57.13	Professional		$45.70	$45.70	$57.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.97 / $183.32 / $908.45	Facility		$119.97	$183.32	$908.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $345.40	Professional		$120.00	$200.00	$345.40
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 $30.00 / $40.00 / $216.41	Professional		$30.00	$40.00	$216.41
United Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $57.13 / $60.61	Professional		$57.13	$57.13	$60.61