Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $78.91 / $166.98	Facility		$53.32	$78.91	$166.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $53.69 / $105.75	Professional		$41.14	$53.69	$105.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $149.61 / $844.06	Facility		$86.94	$149.61	$844.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $83.74 / $122.84	Professional		$69.65	$83.74	$122.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.75 / $239.53 / $413.03	Facility		$92.75	$239.53	$413.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $66.44 / $100.18	Professional		$35.72	$66.44	$100.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $90.29 / $185.84	Professional		$61.00	$90.29	$185.84
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 $64.75 / $65.20 / $72.36	Professional		$64.75	$65.20	$72.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $81.81	Professional		$32.34	$32.34	$81.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $61.49 / $103.28	Professional		$38.44	$61.49	$103.28