Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $36.29 / $64.80	Facility		$32.15	$36.29	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $32.15 / $35.04	Professional		$32.14	$32.15	$35.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $130.62 / $648.48	Facility		$87.44	$130.62	$648.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $41.00 / $42.15	Professional		$37.32	$41.00	$42.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Facility		$32.15	$32.15	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $37.14	Professional		$32.15	$32.15	$37.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $47.87 / $101.76	Professional		$32.15	$47.87	$101.76
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 $41.80 / $41.80 / $41.80	Professional		$41.80	$41.80	$41.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $45.33 / $48.57	Professional		$32.38	$45.33	$48.57
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $33.43	Professional		$32.15	$32.15	$33.43