Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $38.61 / $59.15	Facility		$33.22	$38.61	$59.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.34 / $52.05	Professional		$25.21	$34.34	$52.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.55 / $833.28 / $1,668.64	Facility		$389.55	$833.28	$1,668.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $31.73 / $31.73	Professional		$31.73	$31.73	$31.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $74.70 / $125.00	Professional		$51.51	$74.70	$125.00
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 $76.90 / $76.90 / $76.90	Professional		$76.90	$76.90	$76.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $82.81 / $88.73	Professional		$60.97	$82.81	$88.73
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $29.51 / $52.25	Professional		$22.52	$29.51	$52.25