Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $92.21 / $135.66	Facility		$49.04	$92.21	$135.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $63.14 / $98.89	Professional		$28.52	$63.14	$98.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $241.56 / $754.54	Facility		$77.00	$241.56	$754.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $39.36 / $43.92	Professional		$3.50	$39.36	$43.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $128.13 / $262.08	Facility		$78.56	$128.13	$262.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $69.17 / $96.09	Professional		$29.12	$69.17	$96.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $100.00 / $483.12	Professional		$62.74	$100.00	$483.12
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 $74.15 / $74.15 / $74.15	Professional		$74.15	$74.15	$74.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $77.56 / $85.56	Professional		$29.50	$77.56	$85.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.22 / $57.04	Professional		$23.96	$34.22	$57.04