Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $56.50 / $97.11	Facility		$50.45	$56.50	$97.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.49 / $61.04	Professional		$50.45	$52.49	$61.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.47 / $194.27 / $926.48	Facility		$127.47	$194.27	$926.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $61.83 / $67.00	Professional		$54.74	$61.83	$67.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Facility		$52.49	$52.49	$52.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $62.77	Professional		$52.49	$52.49	$62.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $78.73 / $133.74	Professional		$52.49	$78.73	$133.74
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 $68.23 / $68.23 / $68.23	Professional		$68.23	$68.23	$68.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $71.34	Professional		$30.00	$30.00	$71.34
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $59.89	Professional		$52.49	$55.64	$59.89