Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $50.80 / $74.56	Facility		$31.94	$50.80	$74.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $44.35 / $59.64	Professional		$29.08	$44.35	$59.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $293.58 / $682.96	Facility		$41.02	$293.58	$682.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $57.95 / $78.68	Professional		$34.47	$57.95	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $54.63 / $86.44	Professional		$34.19	$54.63	$86.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $57.49 / $121.49	Professional		$30.68	$57.49	$121.49
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 $36.69 / $37.99 / $67.94	Professional		$36.69	$37.99	$67.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.14 / $76.81	Professional		$32.34	$50.14	$76.81
United Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $64.05 / $95.42	Professional		$46.70	$64.05	$95.42