Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $66.07	Facility		$33.11	$33.11	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $57.54	Professional		$26.92	$33.11	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $446.68	Facility		$77.62	$123.03	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $72.44	Facility		$38.02	$38.02	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $70.79	Professional		$28.18	$28.18	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $104.71	Professional		$64.57	$87.10	$104.71
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 $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $48.98	Professional		$33.88	$33.88	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $51.29 / $93.33	Facility		$24.55	$51.29	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $50.12	Professional		$23.99	$32.36	$50.12