Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $61.00	Facility		$52.00	$52.00	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $263.62 / $1,169.59	Facility		$99.43	$263.62	$1,169.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $91.50 / $91.50	Professional		$79.30	$91.50	$91.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $70.15 / $147.80	Professional		$51.85	$70.15	$147.80
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 $79.30 / $79.30 / $79.30	Professional		$79.30	$79.30	$79.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $40.00 / $89.67	Professional		$28.35	$40.00	$89.67
United Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $35.53 / $61.00	Professional		$29.61	$35.53	$61.00