Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $135.88 / $543.54	Facility		$63.10	$135.88	$543.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $62.36 / $88.04	Professional		$52.64	$62.36	$88.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $326.11 / $970.49	Facility		$99.04	$326.11	$970.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $50.63 / $56.49	Professional		$3.50	$50.63	$56.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $162.90 / $338.02	Facility		$93.06	$162.90	$338.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $89.31 / $123.94	Professional		$37.56	$89.31	$123.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $128.40 / $328.94	Professional		$80.70	$128.40	$328.94
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 $95.38 / $95.38 / $95.38	Professional		$95.38	$95.38	$95.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $99.78 / $110.06	Professional		$22.99	$99.78	$110.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $45.78 / $77.11	Professional		$30.82	$45.78	$77.11