Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $105.00 / $143.96	Facility		$50.45	$105.00	$143.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $51.96 / $79.73	Professional		$47.99	$51.96	$79.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.05 / $265.93 / $813.81	Facility		$83.05	$265.93	$813.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $47.37 / $93.51	Professional		$4.50	$47.37	$93.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $136.43 / $282.92	Facility		$63.18	$136.43	$282.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $74.86 / $103.74	Professional		$31.44	$74.86	$103.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $107.66 / $750.39	Professional		$67.67	$107.66	$750.39
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 $79.98 / $79.98 / $79.98	Professional		$79.98	$79.98	$79.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $83.67 / $92.28	Professional		$29.50	$83.67	$92.28
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $36.90 / $61.52	Professional		$25.84	$36.90	$61.52