Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $812.83	Facility		$63.10	$173.78	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $79.43	Professional		$72.44	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $151.36	Professional		$93.33	$120.23	$151.36
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $61.66	Facility		$36.31	$36.31	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $63.10	Professional		$61.66	$61.66	$63.10