Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $105.00 / $124.90	Facility		$51.60	$105.00	$124.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $49.20 / $105.00	Professional		$46.20	$49.20	$105.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.20 / $88.30 / $575.64	Facility		$32.20	$88.30	$575.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $46.20 / $57.75	Professional		$3.50	$46.20	$57.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $143.52 / $275.48	Facility		$39.00	$143.52	$275.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $66.00 / $87.59	Professional		$11.88	$66.00	$87.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $81.00 / $125.00	Professional		$44.19	$81.00	$125.00
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 $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $33.00 / $75.00	Professional		$9.68	$33.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $25.20 / $60.00	Professional		$13.05	$25.20	$60.00