Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Facility		$58.88	$58.88	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $117.49	Professional		$38.02	$57.54	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $794.33	Facility		$138.04	$223.87	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $87.10	Professional		$58.88	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $77.62	Facility		$53.70	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $114.82	Professional		$39.81	$39.81	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $162.18	Professional		$91.20	$120.23	$162.18
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 $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $87.10	Professional		$60.26	$60.26	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $91.20 / $141.25	Facility		$36.31	$91.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $77.62	Professional		$36.31	$57.54	$77.62