Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $103.06 / $168.11	Facility		$52.82	$103.06	$168.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $52.82 / $55.39	Professional		$49.60	$52.82	$55.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $90.17 / $114.00	Facility		$75.34	$90.17	$114.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.72 / $234.80 / $296.33	Facility		$88.72	$234.80	$296.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $78.47 / $98.09	Professional		$70.84	$78.47	$98.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $90.17 / $128.82	Professional		$64.41	$90.17	$128.82
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 $83.73 / $83.73 / $83.73	Professional		$83.73	$83.73	$83.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $44.19	Professional		$30.00	$30.00	$44.19
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $77.29	Professional		$27.05	$38.65	$77.29