Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $47.02 / $83.72	Facility		$47.02	$47.02	$83.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $51.80 / $79.93	Professional		$36.53	$51.80	$79.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $264.36 / $959.46	Facility		$96.00	$264.36	$959.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $83.72 / $83.72	Professional		$65.41	$83.72	$83.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $85.88	Professional		$34.15	$34.15	$85.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $103.18 / $202.85	Professional		$71.16	$103.18	$202.85
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 $108.84 / $108.84 / $108.84	Professional		$108.84	$108.84	$108.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $117.21 / $125.58	Professional		$113.86	$117.21	$125.58
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $41.77 / $71.70	Professional		$29.59	$41.77	$71.70