Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.03 / $105.42 / $144.79	Facility		$54.03	$105.42	$144.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $42.17 / $73.79	Professional		$34.65	$42.17	$73.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $76.42 / $93.29	Facility		$61.67	$76.42	$93.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $191.89 / $242.72	Facility		$72.59	$191.89	$242.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $64.43 / $80.54	Professional		$57.98	$64.43	$80.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $73.79 / $120.00	Professional		$52.71	$73.79	$120.00
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 $68.52 / $68.52 / $68.52	Professional		$68.52	$68.52	$68.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $36.15 / $65.89	Professional		$26.36	$36.15	$65.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $31.63 / $52.71	Professional		$22.14	$31.63	$52.71