Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.53 / $38.53 / $38.53	Facility		$38.53	$38.53	$38.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $42.72 / $71.64	Professional		$38.53	$42.72	$71.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $158.71 / $669.88	Facility		$93.81	$158.71	$669.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $59.17 / $59.17	Professional		$59.17	$59.17	$59.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $85.64	Facility		$50.36	$50.36	$85.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $90.38	Professional		$36.76	$50.36	$90.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $96.53 / $116.78	Professional		$77.84	$96.53	$116.78
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 $101.21 / $101.21 / $101.21	Professional		$101.21	$101.21	$101.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $58.69 / $61.62	Professional		$41.08	$58.69	$61.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $38.84 / $66.67	Professional		$32.52	$38.84	$66.67