Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $95.50	Facility		$47.86	$47.86	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $95.50	Professional		$41.69	$52.48	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $645.65	Facility		$114.82	$181.97	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $70.79	Professional		$63.10	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $63.10	Facility		$58.88	$58.88	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $134.90	Professional		$79.43	$109.65	$134.90
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $75.86 / $154.88	Facility		$39.81	$75.86	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $77.62	Professional		$37.15	$46.77	$77.62