Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $48.98 / $74.87	Professional		$40.15	$48.98	$74.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $193.68 / $819.92	Facility		$114.48	$193.68	$819.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $72.42 / $72.42	Professional		$59.09	$72.42	$72.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $89.53	Facility		$61.62	$61.62	$89.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $110.63	Professional		$44.98	$61.62	$110.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $111.30 / $137.00	Professional		$85.76	$111.30	$137.00
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 $123.88 / $123.88 / $123.88	Professional		$123.88	$123.88	$123.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $71.81 / $75.41	Professional		$50.27	$71.81	$75.41
United Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $47.38 / $71.31	Professional		$33.84	$47.38	$71.31