Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Facility		$51.33	$51.33	$51.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $51.33 / $76.44	Professional		$40.36	$51.33	$76.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $201.75 / $859.25	Facility		$119.25	$201.75	$859.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $75.89 / $75.89	Professional		$57.05	$75.89	$75.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $96.02	Facility		$64.62	$64.62	$96.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $115.88	Professional		$47.17	$64.62	$115.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $119.83 / $148.18	Professional		$92.87	$119.83	$148.18
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 $129.82 / $129.82 / $129.82	Professional		$129.82	$129.82	$129.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $75.27 / $79.03	Professional		$52.68	$75.27	$79.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $49.82 / $83.03	Professional		$36.29	$49.82	$83.03