Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Facility		$34.39	$34.39	$34.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $35.13 / $51.59	Professional		$30.66	$35.13	$51.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $139.88 / $597.79	Facility		$82.68	$139.88	$597.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $72.72	Facility		$44.94	$44.94	$72.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $44.94 / $80.63	Professional		$32.81	$44.94	$80.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $81.06 / $103.80	Professional		$66.11	$81.06	$103.80
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 $90.32 / $90.32 / $90.32	Professional		$90.32	$90.32	$90.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $52.37 / $54.98	Professional		$36.65	$52.37	$54.98
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $34.65 / $61.37	Professional		$25.49	$34.65	$61.37