Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $75.20 / $122.67	Facility		$38.54	$75.20	$122.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $38.54 / $44.65	Professional		$36.19	$38.54	$44.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $65.80 / $83.19	Facility		$54.99	$65.80	$83.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $115.13 / $215.92	Facility		$59.82	$115.13	$215.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $57.35 / $68.70	Professional		$56.40	$57.35	$68.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $68.15 / $119.66	Professional		$49.35	$68.15	$119.66
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 $61.10 / $61.10 / $61.10	Professional		$61.10	$61.10	$61.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $70.50	Professional		$63.92	$63.92	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $47.00	Professional		$19.73	$28.20	$47.00