Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $36.52 / $36.52	Facility		$36.52	$36.52	$36.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $39.33 / $66.45	Professional		$32.74	$39.33	$66.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $147.94 / $634.89	Facility		$87.45	$147.94	$634.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $56.09 / $56.09	Professional		$56.09	$56.09	$56.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $93.68	Facility		$45.81	$45.81	$93.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $45.81 / $85.50	Professional		$33.44	$45.81	$85.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $91.20 / $110.70	Professional		$73.80	$91.20	$110.70
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 $95.94 / $95.94 / $95.94	Professional		$95.94	$95.94	$95.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $55.63 / $58.41	Professional		$38.94	$55.63	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $36.82 / $65.19	Professional		$30.63	$36.82	$65.19