Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Facility		$52.82	$52.82	$52.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $52.82 / $82.22	Professional		$43.24	$52.82	$82.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $207.13 / $884.25	Facility		$122.43	$207.13	$884.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $78.11 / $78.11	Professional		$68.23	$78.11	$78.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $114.39	Facility		$61.48	$61.48	$114.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $119.25	Professional		$44.88	$61.48	$119.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $113.05 / $143.88	Professional		$87.35	$113.05	$143.88
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 $133.60 / $133.60 / $133.60	Professional		$133.60	$133.60	$133.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $77.45 / $81.33	Professional		$54.22	$77.45	$81.33
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $51.27 / $90.03	Professional		$40.67	$51.27	$90.03