Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.59 / $38.59 / $38.59	Facility		$38.59	$38.59	$38.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $38.92 / $65.55	Professional		$36.86	$38.92	$65.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $158.71 / $670.94	Facility		$93.81	$158.71	$670.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $59.26 / $66.70	Professional		$59.26	$59.26	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $94.63	Facility		$48.73	$48.73	$94.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $90.38	Professional		$35.57	$48.73	$90.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $103.76 / $127.02	Professional		$77.98	$103.76	$127.02
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 $101.37 / $101.37 / $101.37	Professional		$101.37	$101.37	$101.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $58.78 / $61.71	Professional		$41.14	$58.78	$61.71
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $38.90 / $66.79	Professional		$32.58	$38.90	$66.79