Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $48.49 / $48.49	Facility		$48.49	$48.49	$48.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $48.49 / $64.48	Professional		$29.49	$48.49	$64.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $190.99 / $811.82	Facility		$112.89	$190.99	$811.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $71.70 / $71.70	Professional		$61.27	$71.70	$71.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $78.84	Facility		$52.95	$52.95	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $109.50	Professional		$38.65	$52.95	$109.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $95.19 / $127.58	Professional		$72.83	$95.19	$127.58
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 $122.64 / $122.64 / $122.64	Professional		$122.64	$122.64	$122.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $71.11 / $74.66	Professional		$49.77	$71.11	$74.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $45.59 / $83.34	Professional		$33.04	$45.59	$83.34