Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $42.59 / $55.90	Facility		$42.59	$42.59	$55.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $45.25	Professional		$42.59	$42.59	$45.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $106.39 / $519.16	Facility		$42.14	$106.39	$519.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
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 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $47.96	Professional		$44.36	$44.36	$47.96