Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $64.42 / $447.81	Facility		$37.60	$64.42	$447.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $38.75 / $55.96	Professional		$33.15	$38.75	$55.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.10 / $552.91 / $991.44	Facility		$302.10	$552.91	$991.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $60.58 / $88.69	Professional		$50.38	$60.58	$88.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.49 / $1,107.93 / $3,351.01	Facility		$485.49	$1,107.93	$3,351.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $55.81 / $92.20	Professional		$34.65	$55.81	$92.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $62.88 / $164.48	Professional		$40.26	$62.88	$164.48
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 $47.09 / $48.09 / $52.34	Professional		$47.09	$48.09	$52.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $59.18	Professional		$32.34	$32.34	$59.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $52.50 / $82.72	Professional		$39.72	$52.50	$82.72