Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $206.00 / $295.95	Facility		$88.68	$206.00	$295.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $84.46 / $194.90	Professional		$54.59	$84.46	$194.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $317.42 / $1,082.58	Facility		$149.35	$317.42	$1,082.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $71.06 / $79.31	Professional		$3.50	$71.06	$79.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $251.60 / $473.52	Facility		$107.00	$251.60	$473.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $125.55 / $162.47	Professional		$66.89	$125.55	$162.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $180.25 / $567.35	Professional		$105.06	$180.25	$567.35
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 $133.90 / $133.90 / $133.90	Professional		$133.90	$133.90	$133.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $69.93 / $128.75	Professional		$37.85	$69.93	$128.75
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.80 / $120.29	Professional		$43.26	$61.80	$120.29