Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.55 / $52.75 / $2,468.55	Facility		$44.55	$52.75	$2,468.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $54.86	Professional		$52.75	$52.75	$54.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.92 / $260.26 / $893.70	Facility		$126.92	$260.26	$893.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $58.63 / $63.51	Professional		$58.63	$58.63	$63.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $65.16 / $125.00	Professional		$44.84	$65.16	$125.00
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 $68.58 / $68.58 / $68.58	Professional		$68.58	$68.58	$68.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $72.51 / $77.69	Professional		$51.79	$72.51	$77.69
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $57.03	Professional		$52.75	$52.75	$57.03