Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $103.28 / $169.29	Facility		$46.85	$103.28	$169.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $44.41 / $67.93	Professional		$21.71	$44.41	$67.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.87 / $161.40 / $542.72	Facility		$74.87	$161.40	$542.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.63 / $39.76	Professional		$3.50	$35.63	$39.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $123.54 / $238.25	Facility		$53.40	$123.54	$238.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $62.78 / $78.48	Professional		$32.11	$62.78	$78.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $93.47 / $234.27	Professional		$52.67	$93.47	$234.27
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 $67.13 / $67.13 / $67.13	Professional		$67.13	$67.13	$67.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $35.43 / $64.55	Professional		$25.82	$35.43	$64.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $31.67 / $53.19	Professional		$21.69	$31.67	$53.19