Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $35.44 / $35.44	Facility		$35.44	$35.44	$35.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $35.44 / $63.06	Professional		$27.46	$35.44	$63.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $159.38 / $552.97	Facility		$74.73	$159.38	$552.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $47.33 / $47.33	Professional		$47.33	$47.33	$47.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $69.41	Facility		$37.90	$37.90	$69.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.90 / $73.13	Professional		$32.22	$37.90	$73.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $98.80 / $124.18	Professional		$63.10	$98.80	$124.18
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 $82.03 / $82.03 / $82.03	Professional		$82.03	$82.03	$82.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $88.34 / $94.65	Professional		$78.88	$88.34	$94.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $31.48 / $55.28	Professional		$20.99	$31.48	$55.28