Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.46 / $38.46 / $38.46	Facility		$38.46	$38.46	$38.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $58.53 / $63.76	Professional		$38.46	$58.53	$63.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.70 / $53.32 / $68.79	Facility		$44.70	$53.32	$68.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.55 / $111.45 / $111.45	Professional		$91.55	$111.45	$111.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $54.58 / $104.42	Facility		$50.12	$54.58	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $93.02 / $111.44	Professional		$81.75	$93.02	$111.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $102.19 / $153.28	Professional		$72.98	$102.19	$153.28
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 $94.89 / $95.03 / $103.49	Professional		$94.89	$95.03	$103.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $7,384.00	Facility		$785.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $65.53 / $98.89	Professional		$43.32	$65.53	$98.89