Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $52.78 / $52.78	Facility		$52.78	$52.78	$52.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $52.78 / $82.15	Professional		$41.26	$52.78	$82.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $207.13 / $883.55	Facility		$122.43	$207.13	$883.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $78.04 / $78.04	Professional		$66.18	$78.04	$78.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $112.40	Facility		$69.65	$69.65	$112.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.65 / $118.88	Professional		$50.84	$69.65	$118.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $112.96 / $143.77	Professional		$87.59	$112.96	$143.77
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 $133.50 / $133.50 / $133.50	Professional		$133.50	$133.50	$133.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $77.41 / $81.28	Professional		$54.18	$77.41	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $51.23 / $90.72	Professional		$38.14	$51.23	$90.72