Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $49.33 / $70.63	Professional		$40.78	$49.33	$70.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.30 / $188.30 / $796.32	Facility		$111.30	$188.30	$796.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $70.34 / $70.34	Professional		$70.34	$70.34	$70.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $98.54	Facility		$59.87	$59.87	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.87 / $107.25	Professional		$43.71	$59.87	$107.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $112.45 / $137.28	Professional		$89.58	$112.45	$137.28
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 $120.32 / $120.32 / $120.32	Professional		$120.32	$120.32	$120.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $74.65 / $78.38	Professional		$52.25	$74.65	$78.38
United Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $46.18 / $79.27	Professional		$35.11	$46.18	$79.27