Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $111.70 / $300.89	Facility		$56.21	$111.70	$300.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $62.09 / $83.08	Professional		$50.33	$62.09	$83.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.54 / $298.95 / $864.66	Facility		$89.54	$298.95	$864.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $45.10 / $50.33	Professional		$3.50	$45.10	$50.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $159.49 / $300.79	Facility		$83.09	$159.49	$300.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $80.93 / $118.98	Professional		$34.04	$80.93	$118.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $114.38 / $592.77	Professional		$71.90	$114.38	$592.77
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 $84.97 / $84.97 / $84.97	Professional		$84.97	$84.97	$84.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $88.89 / $98.04	Professional		$29.50	$88.89	$98.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $39.22 / $76.31	Professional		$27.45	$39.22	$76.31