Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Facility		$41.84	$41.84	$41.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $41.84 / $58.01	Professional		$30.17	$41.84	$58.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $164.09 / $700.52	Facility		$96.99	$164.09	$700.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $61.87 / $61.87	Professional		$42.53	$61.87	$61.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $55.83 / $89.07	Facility		$54.67	$55.83	$89.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $95.45	Professional		$40.76	$40.76	$95.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $89.17 / $113.97	Professional		$68.22	$89.17	$113.97
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 $105.83 / $105.83 / $105.83	Professional		$105.83	$105.83	$105.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.37 / $64.43	Professional		$42.95	$61.37	$64.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $40.40 / $69.72	Professional		$27.38	$40.40	$69.72