Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $43.25 / $61.02	Facility		$39.36	$43.25	$61.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $39.52 / $47.94	Professional		$33.06	$39.52	$47.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $189.14 / $686.15	Facility		$82.11	$189.14	$686.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $55.71 / $57.81	Professional		$45.90	$55.71	$57.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $50.40	Professional		$36.31	$36.31	$50.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $55.12 / $116.96	Professional		$37.17	$55.12	$116.96
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 $48.36 / $51.18 / $55.32	Professional		$48.36	$51.18	$55.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.55	Professional		$32.34	$32.34	$62.55
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $47.46 / $84.28	Professional		$36.04	$47.46	$84.28