Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $64.57	Facility		$51.29	$51.29	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $70.79	Professional		$47.86	$56.23	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $66.07	Professional		$56.23	$61.66	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $81.28	Professional		$56.23	$56.23	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $138.04	Professional		$53.70	$83.18	$138.04
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 $70.79 / $72.44 / $83.18	Professional		$70.79	$72.44	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $60.26	Facility		$56.23	$56.23	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $112.20	Professional		$56.23	$74.13	$112.20