Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $165.96	Facility		$47.86	$47.86	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $85.11	Professional		$39.81	$47.86	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $239.88 / $645.65	Facility		$128.82	$239.88	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $70.79	Professional		$56.23	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $104.71	Facility		$58.88	$58.88	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $102.33	Professional		$42.66	$42.66	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $131.83	Professional		$79.43	$104.71	$131.83
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $75.86	Professional		$52.48	$52.48	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $75.86 / $138.04	Facility		$35.48	$75.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $72.44	Professional		$34.67	$46.77	$72.44