Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Facility		$55.57	$55.57	$55.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $55.57 / $81.00	Professional		$45.28	$55.57	$81.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.56 / $225.96 / $966.08	Facility		$133.56	$225.96	$966.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $85.33 / $85.33	Professional		$85.33	$85.33	$85.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $105.99	Facility		$60.21	$60.21	$105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $130.13	Professional		$43.95	$60.21	$130.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $116.84 / $150.54	Professional		$96.35	$116.84	$150.54
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 $145.96 / $145.96 / $145.96	Professional		$145.96	$145.96	$145.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $84.63 / $88.86	Professional		$59.24	$84.63	$88.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $56.02 / $96.16	Professional		$42.75	$56.02	$96.16