Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $50.72 / $120.75	Facility		$42.19	$50.72	$120.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $53.25	Professional		$50.72	$50.72	$53.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $200.12 / $991.74	Facility		$130.97	$200.12	$991.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $59.81	Professional		$50.71	$50.71	$59.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.24 / $64.41 / $122.89	Professional		$44.24	$64.41	$122.89
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 $65.94 / $65.94 / $65.94	Professional		$65.94	$65.94	$65.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $80.29	Professional		$30.00	$40.00	$80.29
United Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $55.61	Professional		$50.72	$50.72	$55.61