Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $45.71 / $66.73	Professional		$34.70	$45.71	$66.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $180.23 / $765.09	Facility		$106.53	$180.23	$765.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $67.58 / $67.58	Professional		$46.46	$67.58	$67.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $103.63	Facility		$54.54	$54.54	$103.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $103.13	Professional		$39.81	$54.54	$103.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $100.00 / $122.27	Professional		$76.02	$100.00	$122.27
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 $115.60 / $115.60 / $115.60	Professional		$115.60	$115.60	$115.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $67.03 / $70.38	Professional		$46.92	$67.03	$70.38
United Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $44.36 / $74.28	Professional		$31.69	$44.36	$74.28