Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $39.59 / $39.59	Facility		$39.59	$39.59	$39.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $42.64 / $73.62	Professional		$35.72	$42.64	$73.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.40 / $161.40 / $688.31	Facility		$95.40	$161.40	$688.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $60.79 / $60.79	Professional		$59.37	$60.79	$60.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $87.99	Facility		$51.74	$51.74	$87.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $93.55	Professional		$37.77	$37.77	$93.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $96.57 / $119.99	Professional		$79.98	$96.57	$119.99
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 $103.99 / $103.99 / $103.99	Professional		$103.99	$103.99	$103.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $46.17 / $48.47	Professional		$32.31	$46.17	$48.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $39.90 / $70.67	Professional		$33.43	$39.90	$70.67