Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $111.66 / $234.86	Facility		$62.89	$111.66	$234.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $55.19 / $83.05	Professional		$50.31	$55.19	$83.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $282.42 / $864.32	Facility		$88.20	$282.42	$864.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $45.08 / $50.31	Professional		$3.50	$45.08	$50.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $145.24 / $300.79	Facility		$83.09	$145.24	$300.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $79.68 / $110.29	Professional		$31.92	$79.68	$110.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $114.35 / $396.17	Professional		$71.87	$114.35	$396.17
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 $84.94 / $84.94 / $84.94	Professional		$84.94	$84.94	$84.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $88.86 / $98.01	Professional		$22.99	$88.86	$98.01
United Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.94 / $65.34	Professional		$27.44	$35.94	$65.34