Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $39.52 / $65.79	Facility		$39.52	$39.52	$65.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $39.52 / $56.20	Professional		$34.25	$39.52	$56.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.35 / $164.01 / $345.23	Facility		$119.35	$164.01	$345.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $75.66 / $123.03	Professional		$44.77	$75.66	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $82.36	Facility		$44.23	$44.23	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $82.36	Professional		$37.60	$37.60	$82.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $166.11 / $292.76	Professional		$65.17	$166.11	$292.76
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 $85.53 / $85.53 / $85.53	Professional		$85.53	$85.53	$85.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $50.96 / $76.44	Professional		$50.96	$50.96	$76.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $40.76 / $81.97	Professional		$23.41	$40.76	$81.97