Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $99.42 / $162.19	Facility		$50.95	$99.42	$162.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $50.95 / $53.44	Professional		$47.85	$50.95	$53.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $86.99 / $109.98	Facility		$72.70	$86.99	$109.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $148.63 / $285.89	Facility		$69.88	$148.63	$285.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $75.58 / $94.48	Professional		$68.34	$75.58	$94.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $87.00 / $125.00	Professional		$62.14	$87.00	$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
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $42.63 / $77.68	Professional		$31.07	$42.63	$77.68
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $62.14	Professional		$26.10	$37.28	$62.14