Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $34.34 / $61.14	Facility		$34.34	$34.34	$61.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $37.83 / $61.11	Professional		$28.52	$37.83	$61.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $193.09 / $700.72	Facility		$70.40	$193.09	$700.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $61.14 / $61.14	Professional		$47.77	$61.14	$61.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $62.72	Professional		$24.95	$24.95	$62.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $80.80 / $148.13	Professional		$51.97	$80.80	$148.13
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 $79.48 / $79.48 / $79.48	Professional		$79.48	$79.48	$79.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.15 / $85.60 / $91.71	Professional		$83.15	$85.60	$91.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.50 / $52.37	Professional		$21.61	$30.50	$52.37