Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $57.75 / $96.00	Facility		$47.97	$57.75	$96.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $52.77	Professional		$47.97	$48.00	$52.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $205.35 / $979.36	Facility		$134.75	$205.35	$979.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $61.00 / $63.86	Professional		$56.55	$61.00	$63.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Facility		$47.97	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $55.00	Professional		$47.97	$47.97	$55.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $68.80 / $102.70	Professional		$47.97	$68.80	$102.70
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 $62.36 / $62.36 / $62.36	Professional		$62.36	$62.36	$62.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $67.52 / $72.34	Professional		$48.23	$67.52	$72.34
United Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $79.58 / $79.58	Facility		$48.23	$79.58	$79.58
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $49.90	Professional		$47.97	$47.97	$49.90