Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $101.00 / $151.50	Facility		$43.48	$101.00	$151.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $41.41 / $64.19	Professional		$26.76	$41.41	$64.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.22 / $161.91 / $530.84	Facility		$73.22	$161.91	$530.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $38.89 / $38.89	Professional		$34.85	$38.89	$38.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $123.66 / $232.30	Facility		$51.05	$123.66	$232.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $61.54 / $81.23	Professional		$31.92	$61.54	$81.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $91.67 / $339.96	Professional		$53.03	$91.67	$339.96
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 $65.65 / $65.65 / $65.65	Professional		$65.65	$65.65	$65.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.56 / $34.64 / $63.13	Professional		$18.56	$34.64	$63.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $30.30 / $58.97	Professional		$21.21	$30.30	$58.97