Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $34.17 / $53.86	Facility		$34.17	$34.17	$53.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $34.79 / $54.24	Professional		$29.09	$34.79	$54.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $275.88 / $636.32	Facility		$132.43	$275.88	$636.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $40.93 / $40.93	Professional		$32.15	$40.93	$40.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $90.22	Facility		$57.67	$57.67	$90.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $90.00	Professional		$42.10	$42.10	$90.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $97.83 / $125.75	Professional		$53.86	$97.83	$125.75
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 $70.02 / $70.02 / $70.02	Professional		$70.02	$70.02	$70.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $97.64 / $102.52	Professional		$68.34	$97.64	$102.52
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $50.42 / $86.55	Professional		$34.72	$50.42	$86.55