Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Facility		$47.25	$47.25	$47.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $49.32 / $137.27	Professional		$39.06	$49.32	$137.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $536.25 / $965.55	Facility		$149.84	$536.25	$965.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $69.87 / $69.87	Professional		$54.77	$69.87	$69.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $100.64	Facility		$61.54	$61.54	$100.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $118.94	Professional		$44.92	$61.54	$118.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $173.66 / $295.82	Professional		$91.93	$173.66	$295.82
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 $119.51 / $119.51 / $119.51	Professional		$119.51	$119.51	$119.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $51.90 / $77.85	Professional		$22.09	$51.90	$77.85
United Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.65 / $80.53	Professional		$34.15	$45.65	$80.53