Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $37.33 / $37.33	Facility		$37.33	$37.33	$37.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $37.33 / $66.43	Professional		$31.00	$37.33	$66.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $179.85 / $582.76	Facility		$103.35	$179.85	$582.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $49.86 / $49.86	Professional		$38.95	$49.86	$49.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $73.13	Facility		$39.94	$39.94	$73.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $39.94 / $77.25	Professional		$33.95	$39.94	$77.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $82.55 / $106.95	Professional		$66.48	$82.55	$106.95
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 $86.42 / $86.42 / $86.42	Professional		$86.42	$86.42	$86.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $83.10 / $99.72	Professional		$31.68	$83.10	$99.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $33.17 / $56.94	Professional		$23.50	$33.17	$56.94