Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $51.81 / $51.81	Facility		$51.81	$51.81	$51.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $51.81 / $68.66	Professional		$31.12	$51.81	$68.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $204.44 / $867.35	Facility		$120.84	$204.44	$867.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $92.83	Facility		$65.20	$65.20	$92.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $117.00	Professional		$47.60	$65.20	$117.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $104.95 / $138.16	Professional		$82.42	$104.95	$138.16
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 $131.07 / $131.07 / $131.07	Professional		$131.07	$131.07	$131.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $75.98 / $79.78	Professional		$53.19	$75.98	$79.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $48.73 / $86.33	Professional		$31.44	$48.73	$86.33