Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $51.48 / $51.48	Facility		$51.48	$51.48	$51.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $53.80 / $91.43	Professional		$40.40	$53.80	$91.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.21 / $482.23 / $1,051.82	Facility		$132.21	$482.23	$1,051.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $76.12 / $76.12	Professional		$66.51	$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 / $53.85 / $116.25	Professional		$39.31	$53.85	$116.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $183.63 / $241.96	Professional		$100.00	$183.63	$241.96
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 $45.89 / $65.56 / $68.83	Professional		$45.89	$65.56	$68.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $49.96 / $87.73	Professional		$35.83	$49.96	$87.73