Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $67.61	Facility		$37.15	$37.15	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $67.61	Professional		$28.18	$40.74	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $575.44	Facility		$102.33	$173.78	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $50.12	Professional		$38.90	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $74.13	Facility		$39.81	$39.81	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $72.44	Professional		$33.88	$33.88	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $107.15	Professional		$56.23	$83.18	$107.15
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 $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $67.61	Facility		$19.05	$25.70	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $52.48	Professional		$23.44	$33.11	$52.48