Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $156.52 / $214.97	Facility		$67.38	$156.52	$214.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $64.17 / $136.96	Professional		$41.47	$64.17	$136.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.47 / $249.73 / $822.54	Facility		$113.47	$249.73	$822.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $54.00 / $60.26	Professional		$3.50	$54.00	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $206.04 / $360.36	Facility		$77.73	$206.04	$360.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $95.40 / $154.07	Professional		$54.59	$95.40	$154.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $132.72 / $232.51	Professional		$82.17	$132.72	$232.51
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 $101.74 / $101.74 / $101.74	Professional		$101.74	$101.74	$101.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $47.73 / $97.83	Professional		$28.75	$47.73	$97.83
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $78.26	Facility		$53.70	$53.70	$78.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $49.85 / $91.38	Professional		$32.86	$49.85	$91.38