Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.34 / $52.34 / $52.34	Facility		$52.34	$52.34	$52.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $53.31 / $81.95	Professional		$42.35	$53.31	$81.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $207.13 / $876.27	Facility		$122.43	$207.13	$876.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $143.51	Facility		$66.72	$66.72	$143.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $118.13	Professional		$48.71	$66.72	$118.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $140.86 / $174.34	Professional		$100.00	$140.86	$174.34
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 $132.38 / $132.38 / $132.38	Professional		$132.38	$132.38	$132.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $76.75 / $80.58	Professional		$53.72	$76.75	$80.58
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $50.80 / $87.39	Professional		$39.74	$50.80	$87.39