Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.07 / $37.07 / $80.87	Facility		$37.07	$37.07	$80.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $37.07 / $72.12	Professional		$30.31	$37.07	$72.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $145.26 / $620.57	Facility		$85.86	$145.26	$620.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $54.81 / $54.81	Professional		$44.02	$54.81	$54.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $105.78	Facility		$46.45	$46.45	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $88.64	Professional		$33.90	$33.90	$88.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $97.98 / $121.27	Professional		$72.12	$97.98	$121.27
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 $93.76 / $93.76 / $93.76	Professional		$93.76	$93.76	$93.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.05 / $54.36 / $57.07	Professional		$38.05	$54.36	$57.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $35.97 / $63.71	Professional		$28.17	$35.97	$63.71