Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $66.56 / $99.20	Facility		$31.97	$66.56	$99.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $77.34 / $125.47	Professional		$63.50	$77.34	$125.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $247.94 / $876.27	Facility		$123.20	$247.94	$876.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $75.54 / $75.54	Professional		$75.54	$75.54	$75.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Facility		$70.36	$70.36	$70.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $40.85 / $138.75	Professional		$26.70	$40.85	$138.75
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 $31.28 / $31.55 / $34.71	Professional		$31.28	$31.55	$34.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $54.25	Professional		$17.54	$17.54	$54.25
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $75.17 / $84.24	Professional		$63.70	$75.17	$84.24