Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $79.43	Facility		$38.02	$38.02	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $77.62	Professional		$33.11	$39.81	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $758.58	Facility		$95.50	$128.82	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $58.88	Professional		$51.29	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $85.11	Professional		$52.48	$52.48	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $151.36	Professional		$77.62	$120.23	$151.36
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 $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $47.86	Professional		$33.11	$33.11	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $114.82	Facility		$46.77	$63.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $58.88	Professional		$29.51	$38.90	$58.88