Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Facility		$32.29	$32.29	$32.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $32.90 / $39.28	Professional		$25.23	$32.90	$39.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $126.43 / $540.62	Facility		$74.73	$126.43	$540.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $47.76 / $47.76	Professional		$40.50	$47.76	$47.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $68.78	Facility		$35.07	$35.07	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.07 / $72.75	Professional		$25.60	$35.07	$72.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $75.68 / $93.16	Professional		$60.58	$75.68	$93.16
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 $81.69 / $81.69 / $81.69	Professional		$81.69	$81.69	$81.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $47.37 / $49.73	Professional		$33.15	$47.37	$49.73
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $31.19 / $53.82	Professional		$23.33	$31.19	$53.82