Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $71.50 / $97.95	Facility		$30.26	$71.50	$97.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $52.72 / $126.54	Professional		$28.79	$52.72	$126.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $312.88 / $757.76	Facility		$122.36	$312.88	$757.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $99.17 / $188.08	Professional		$35.58	$99.17	$188.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $69.84 / $189.58	Professional		$33.01	$69.84	$189.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $155.01 / $217.40	Professional		$42.06	$155.01	$217.40
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 $37.86 / $39.04 / $164.31	Professional		$37.86	$39.04	$164.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.79	Professional		$32.34	$32.34	$185.79
United Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $89.46 / $146.90	Professional		$58.36	$89.46	$146.90