Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $63.15 / $135.47	Facility		$40.17	$63.15	$135.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $45.64 / $65.95	Professional		$32.65	$45.64	$65.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $159.26 / $652.62	Facility		$65.88	$159.26	$652.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $64.25 / $100.83	Professional		$44.63	$64.25	$100.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $59.40 / $104.42	Facility		$50.12	$59.40	$104.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $64.51 / $112.30	Professional		$37.72	$64.51	$112.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $82.43 / $196.22	Professional		$47.15	$82.43	$196.22
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 $42.02 / $47.15 / $82.43	Professional		$42.02	$47.15	$82.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $32.34 / $93.21	Professional		$24.50	$32.34	$93.21
United Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $69.39 / $117.85	Professional		$47.87	$69.39	$117.85