Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $53.56 / $80.43	Facility		$46.86	$53.56	$80.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $50.38 / $62.00	Professional		$41.18	$50.38	$62.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.81 / $515.46 / $998.46	Facility		$192.81	$515.46	$998.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $65.06 / $74.01	Professional		$58.57	$65.06	$74.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $72.70 / $100.47	Professional		$54.20	$72.70	$100.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $68.94 / $170.21	Professional		$46.54	$68.94	$170.21
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 $61.40 / $63.18 / $80.13	Professional		$61.40	$63.18	$80.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.87 / $90.61	Professional		$32.34	$58.87	$90.61
United Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $76.78 / $116.06	Professional		$56.52	$76.78	$116.06