Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $104.71	Facility		$52.48	$52.48	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $104.71	Professional		$50.12	$54.95	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $199.53 / $707.95	Facility		$123.03	$199.53	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $77.62	Professional		$67.61	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $69.18	Facility		$61.66	$61.66	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $114.82	Professional		$44.67	$44.67	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $144.54	Professional		$87.10	$112.20	$144.54
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $77.62	Professional		$53.70	$53.70	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $162.18	Facility		$41.69	$81.28	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $81.28	Professional		$38.90	$51.29	$81.28