Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $48.39 / $48.39	Facility		$48.39	$48.39	$48.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $49.29 / $75.33	Professional		$38.75	$49.29	$75.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $190.99 / $810.17	Facility		$112.89	$190.99	$810.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $71.56 / $71.56	Professional		$62.53	$71.56	$71.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $114.40	Facility		$58.84	$58.84	$114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $109.13	Professional		$42.95	$58.84	$109.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $109.58 / $134.88	Professional		$87.56	$109.58	$134.88
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 $122.41 / $122.41 / $122.41	Professional		$122.41	$122.41	$122.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $70.98 / $74.52	Professional		$49.68	$70.98	$74.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $46.98 / $80.89	Professional		$36.78	$46.98	$80.89