Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $194.98	Facility		$66.07	$107.15	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $74.13	Professional		$41.69	$53.70	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $104.71	Facility		$77.62	$87.10	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $120.23 / $295.12	Facility		$41.69	$120.23	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $97.72	Professional		$74.13	$77.62	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $199.53	Professional		$64.57	$91.20	$199.53
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 $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $128.82	Facility		$47.86	$64.57	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $67.61	Professional		$26.92	$38.90	$67.61