Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $114.82	Facility		$54.95	$54.95	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $107.15	Professional		$40.74	$54.95	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $776.25	Facility		$134.90	$218.78	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $107.15	Facility		$60.26	$60.26	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $114.82	Professional		$43.65	$43.65	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $151.36	Professional		$95.50	$117.49	$151.36
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $85.11	Professional		$58.88	$58.88	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $158.49	Facility		$64.57	$89.13	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $83.18	Professional		$42.66	$56.23	$83.18