Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $50.79 / $98.82	Facility		$50.79	$50.79	$98.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $51.73 / $72.42	Professional		$43.59	$51.73	$72.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $199.06 / $850.21	Facility		$117.66	$199.06	$850.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $75.09 / $75.09	Professional		$65.14	$75.09	$75.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $105.30	Facility		$56.69	$62.81	$105.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $56.69 / $114.38	Professional		$45.85	$56.69	$114.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $109.20 / $138.35	Professional		$87.42	$109.20	$138.35
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 $128.47 / $128.47 / $128.47	Professional		$128.47	$128.47	$128.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $74.48 / $78.20	Professional		$52.13	$74.48	$78.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $49.30 / $86.56	Professional		$37.61	$49.30	$86.56