Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $134.41 / $184.62	Facility		$57.87	$134.41	$184.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $55.11 / $120.64	Professional		$35.61	$55.11	$120.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $214.05 / $706.38	Facility		$97.45	$214.05	$706.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $46.37 / $51.75	Professional		$3.50	$46.37	$51.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $160.78 / $309.73	Facility		$70.03	$160.78	$309.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $81.77 / $102.21	Professional		$42.70	$81.77	$102.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $117.62 / $327.63	Professional		$70.56	$117.62	$327.63
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 $87.37 / $87.37 / $87.37	Professional		$87.37	$87.37	$87.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $46.11 / $84.01	Professional		$33.61	$46.11	$84.01
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $69.23	Professional		$28.23	$40.33	$69.23