Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $100.82 / $151.22	Facility		$43.41	$100.82	$151.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $41.34 / $64.08	Professional		$26.71	$41.34	$64.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $161.91 / $529.89	Facility		$73.16	$161.91	$529.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $34.78 / $38.82	Professional		$3.50	$34.78	$38.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $125.29 / $232.30	Facility		$52.53	$125.29	$232.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $61.54 / $90.84	Professional		$32.84	$61.54	$90.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $91.48 / $241.32	Professional		$52.93	$91.48	$241.32
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 $65.53 / $65.53 / $65.53	Professional		$65.53	$65.53	$65.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.58 / $63.01	Professional		$25.21	$34.58	$63.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $32.77 / $51.92	Professional		$21.17	$32.77	$51.92