Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $315.00	Facility		$70.70	$70.70	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $77.77	Professional		$70.70	$70.70	$77.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $83.25 / $93.65	Professional		$83.25	$83.25	$93.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $93.37	Professional		$70.70	$70.70	$93.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $98.98 / $402.85	Professional		$61.74	$98.98	$402.85
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 $91.91 / $91.91 / $91.91	Professional		$91.91	$91.91	$91.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $110.31	Professional		$30.00	$40.00	$110.31
United Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $121.34 / $121.34	Facility		$121.34	$121.34	$121.34
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $79.89	Professional		$70.70	$70.70	$79.89