Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $51.48 / $100.16	Facility		$3.40	$51.48	$100.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $51.75 / $83.70	Professional		$40.40	$51.75	$83.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.25 / $201.75 / $861.71	Facility		$119.25	$201.75	$861.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $76.12 / $76.12	Professional		$65.04	$76.12	$76.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $122.18	Facility		$53.85	$53.85	$122.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $78.84 / $116.25	Professional		$39.31	$78.84	$116.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $126.13 / $151.56	Professional		$100.07	$126.13	$151.56
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 $130.21 / $130.21 / $130.21	Professional		$130.21	$130.21	$130.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $80.77 / $84.80	Professional		$56.53	$80.77	$84.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $49.96 / $87.73	Professional		$35.83	$49.96	$87.73