Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Facility		$40.17	$40.17	$40.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $40.17 / $62.51	Professional		$31.39	$40.17	$62.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $158.71 / $672.34	Facility		$93.81	$158.71	$672.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $59.39 / $61.17	Professional		$50.36	$59.39	$61.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $85.54	Facility		$43.62	$43.62	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $43.62 / $90.75	Professional		$31.84	$43.62	$90.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $185.16 / $257.83	Professional		$78.14	$185.16	$257.83
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 $101.58 / $101.58 / $101.58	Professional		$101.58	$101.58	$101.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $58.91 / $61.85	Professional		$41.23	$58.91	$61.85
United Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $38.99 / $69.04	Professional		$29.03	$38.99	$69.04