Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $55.04 / $96.47	Facility		$36.96	$55.04	$96.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.96 / $40.65	Professional		$36.69	$36.96	$40.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $161.69 / $771.13	Facility		$106.10	$161.69	$771.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $47.00 / $48.95	Professional		$43.34	$47.00	$48.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Facility		$36.69	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $47.55	Professional		$36.69	$36.69	$47.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $62.01 / $136.30	Professional		$36.69	$62.01	$136.30
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 $47.70 / $47.70 / $47.70	Professional		$47.70	$47.70	$47.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $52.54 / $56.30	Professional		$37.53	$52.54	$56.30
United Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $61.92 / $61.92	Facility		$61.92	$61.92	$61.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $38.79 / $43.66	Professional		$36.69	$38.79	$43.66