Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $70.79	Facility		$33.88	$33.88	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $70.79	Professional		$26.30	$34.67	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $478.63	Facility		$83.18	$134.90	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $74.13	Facility		$44.67	$44.67	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $72.44	Professional		$33.11	$33.11	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $104.71	Professional		$63.10	$81.28	$104.71
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $52.48	Professional		$36.31	$36.31	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $100.00	Facility		$40.74	$54.95	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $52.48	Professional		$26.30	$34.67	$52.48