Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.21 / $112.42 / $160.41	Facility		$56.21	$112.42	$160.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.78 / $56.21 / $87.13	Professional		$52.78	$56.21	$87.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $296.32 / $906.76	Facility		$92.54	$296.32	$906.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $152.31 / $315.68	Facility		$86.83	$152.31	$315.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $83.62 / $115.75	Professional		$33.44	$83.62	$115.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $119.96 / $290.64	Professional		$75.41	$119.96	$290.64
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 $89.12 / $89.12 / $89.12	Professional		$89.12	$89.12	$89.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $93.23 / $102.83	Professional		$22.99	$93.23	$102.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $37.70 / $68.55	Professional		$28.79	$37.70	$68.55