Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $63.61 / $81.14	Facility		$45.60	$63.61	$81.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $51.35 / $68.42	Professional		$40.01	$51.35	$68.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.27 / $389.25 / $905.51	Facility		$127.27	$389.25	$905.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $68.08 / $77.15	Professional		$56.70	$68.08	$77.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $75.08 / $102.09	Professional		$53.77	$75.08	$102.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $71.08 / $130.22	Professional		$47.12	$71.08	$130.22
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 $59.38 / $61.26 / $84.01	Professional		$59.38	$61.26	$84.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.78 / $94.99	Professional		$32.34	$67.78	$94.99
United Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $82.41 / $122.23	Professional		$59.52	$82.41	$122.23