Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $41.34 / $64.81	Facility		$41.34	$41.34	$64.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $41.34 / $49.84	Professional		$35.75	$41.34	$49.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $216.57 / $853.46	Facility		$120.00	$216.57	$853.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $57.70 / $67.73	Professional		$48.95	$57.70	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $38.69 / $50.88	Professional		$38.69	$38.69	$50.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $56.77 / $106.95	Professional		$40.33	$56.77	$106.95
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 $52.72 / $54.35 / $57.38	Professional		$52.72	$54.35	$57.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $64.89	Professional		$32.34	$32.34	$64.89
United Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $54.94 / $90.52	Professional		$40.42	$54.94	$90.52