Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $90.04 / $134.29	Facility		$42.19	$90.04	$134.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.61 / $61.74	Professional		$32.50	$39.61	$61.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $222.37 / $680.67	Facility		$69.45	$222.37	$680.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.50 / $39.61	Professional		$3.50	$35.50	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $114.41 / $236.76	Facility		$67.36	$114.41	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $62.60 / $86.81	Professional		$26.31	$62.60	$86.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $93.12 / $378.72	Professional		$56.60	$93.12	$378.72
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 $66.89 / $66.89 / $66.89	Professional		$66.89	$66.89	$66.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $69.97 / $77.18	Professional		$37.82	$69.97	$77.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $54.07	Professional		$21.61	$30.87	$54.07