Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $50.11	Facility		$50.11	$50.11	$50.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $50.64 / $98.27	Professional		$45.22	$50.64	$98.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $204.44 / $871.10	Facility		$120.84	$204.44	$871.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $76.95 / $76.95	Professional		$75.14	$76.95	$76.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $148.50	Facility		$66.22	$66.22	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $66.22 / $117.38	Professional		$48.34	$66.22	$117.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $120.76 / $151.88	Professional		$99.43	$120.76	$151.88
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 $131.63 / $131.63 / $131.63	Professional		$131.63	$131.63	$131.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.41 / $76.31 / $80.12	Professional		$53.41	$76.31	$80.12
United Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $50.51 / $91.33	Professional		$42.10	$50.51	$91.33