Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $34.65 / $34.65	Facility		$34.65	$34.65	$34.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $34.65 / $61.73	Professional		$28.79	$34.65	$61.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $166.99 / $541.00	Facility		$95.40	$166.99	$541.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $46.30 / $46.30	Professional		$40.09	$46.30	$46.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $69.64	Facility		$41.02	$41.02	$69.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $79.92	Professional		$34.86	$34.86	$79.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $67.98 / $88.83	Professional		$55.56	$67.98	$88.83
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 $80.25 / $80.25 / $88.76	Professional		$80.25	$80.25	$88.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $83.95 / $92.60	Professional		$29.42	$83.95	$92.60
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.76 / $54.35	Professional		$23.99	$30.76	$54.35