Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $75.86	Facility		$36.31	$36.31	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $67.61	Professional		$32.36	$38.02	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $512.86	Facility		$89.13	$144.54	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $72.44	Facility		$47.86	$47.86	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $75.86	Professional		$35.48	$35.48	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $128.82	Professional		$63.10	$107.15	$128.82
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 $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $42.66	Professional		$30.20	$30.20	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $58.88 / $104.71	Facility		$42.66	$58.88	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $54.95	Professional		$28.18	$37.15	$54.95