Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $49.10 / $49.10	Facility		$49.10	$49.10	$49.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $50.01 / $79.40	Professional		$43.50	$50.01	$79.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $193.68 / $822.03	Facility		$114.48	$193.68	$822.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $72.61 / $72.61	Professional		$63.44	$72.61	$72.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $111.64	Facility		$61.81	$61.81	$111.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $110.63	Professional		$45.12	$61.81	$110.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $116.86 / $140.16	Professional		$90.76	$116.86	$140.16
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 $124.20 / $124.20 / $124.20	Professional		$124.20	$124.20	$124.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.01 / $75.61	Professional		$50.40	$72.01	$75.61
United Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $47.66 / $84.40	Professional		$43.03	$47.66	$84.40