Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $134.72 / $281.76	Facility		$60.54	$134.72	$281.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $57.36 / $87.78	Professional		$35.35	$57.36	$87.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $208.57 / $701.06	Facility		$96.71	$208.57	$701.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $51.36 / $66.70	Professional		$4.50	$51.36	$66.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $166.50 / $306.75	Facility		$69.22	$166.50	$306.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $81.36 / $124.46	Professional		$44.07	$81.36	$124.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $116.73 / $403.66	Professional		$70.04	$116.73	$403.66
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 $86.71 / $86.71 / $86.71	Professional		$86.71	$86.71	$86.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $37.04 / $66.70	Professional		$18.52	$37.04	$66.70
United Facility/Professional Facility Modifier Low / Median / High Price $111.79 / $111.79 / $111.79	Facility		$111.79	$111.79	$111.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $42.49 / $68.70	Professional		$28.01	$42.49	$68.70