Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $117.23 / $409.60	Facility		$56.49	$117.23	$409.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $53.87 / $72.72	Professional		$49.34	$53.87	$72.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $283.95 / $868.96	Facility		$88.68	$283.95	$868.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $45.33 / $50.58	Professional		$3.50	$45.33	$50.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $146.04 / $302.27	Facility		$83.51	$146.04	$302.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $80.11 / $110.84	Professional		$32.14	$80.11	$110.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $114.96 / $261.07	Professional		$72.26	$114.96	$261.07
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 $85.40 / $85.40 / $85.40	Professional		$85.40	$85.40	$85.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $89.34 / $98.54	Professional		$22.99	$89.34	$98.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $67.13	Professional		$27.59	$39.40	$67.13