Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $58.69 / $64.00	Facility		$41.29	$58.69	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $51.82 / $69.09	Professional		$38.72	$51.82	$69.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $492.12 / $953.25	Facility		$184.08	$492.12	$953.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $55.43 / $65.20	Professional		$41.29	$55.43	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $89.06	Professional		$55.95	$55.95	$89.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $58.69 / $102.37	Professional		$39.06	$58.69	$102.37
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 $52.17 / $53.68 / $82.38	Professional		$52.17	$53.68	$82.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.06	Professional		$32.34	$32.34	$95.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $81.37 / $138.93	Professional		$56.87	$81.37	$138.93