Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $160.74 / $220.77	Facility		$69.20	$160.74	$220.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $65.90 / $164.75	Professional		$59.64	$65.90	$164.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.56 / $257.95 / $844.66	Facility		$116.56	$257.95	$844.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $55.46 / $61.88	Professional		$3.50	$55.46	$61.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $199.33 / $369.29	Facility		$81.81	$199.33	$369.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $97.88 / $138.87	Professional		$51.15	$97.88	$138.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $115.08 / $200.00	Professional		$84.39	$115.08	$200.00
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 $104.48 / $104.48 / $104.48	Professional		$104.48	$104.48	$104.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $55.13 / $100.46	Professional		$26.46	$55.13	$100.46
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $51.20 / $93.86	Professional		$33.76	$51.20	$93.86