Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $47.64 / $174.72	Facility		$24.38	$47.64	$174.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $52.40 / $82.68	Professional		$41.34	$52.40	$82.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $157.27 / $603.08	Facility		$72.00	$157.27	$603.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $54.07 / $54.07	Professional		$54.07	$54.07	$54.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $32.56 / $86.12	Professional		$20.44	$32.56	$86.12
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 $23.76 / $24.15 / $26.13	Professional		$23.76	$24.15	$26.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $44.89	Professional		$33.56	$33.56	$44.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $53.53 / $53.68	Professional		$44.73	$53.53	$53.68