Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $138.04	Facility		$53.70	$79.43	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $70.79	Professional		$52.48	$53.70	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $208.93 / $616.60	Facility		$79.43	$208.93	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $64.57	Professional		$56.23	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $60.26	Professional		$53.70	$53.70	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $104.71	Professional		$52.48	$77.62	$104.71
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 $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $77.62	Professional		$53.70	$72.44	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $83.18	Facility		$52.48	$52.48	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $58.88	Professional		$53.70	$54.95	$58.88