Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $76.42 / $109.04	Facility		$38.21	$76.42	$109.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $38.61 / $59.23	Professional		$35.88	$38.61	$59.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $228.42 / $616.41	Facility		$63.84	$228.42	$616.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $35.88 / $70.83	Professional		$4.50	$35.88	$70.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $105.89 / $214.43	Facility		$58.99	$105.89	$214.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $56.91 / $84.61	Professional		$24.18	$56.91	$84.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $84.35 / $394.57	Professional		$51.26	$84.35	$394.57
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 $60.58 / $60.58 / $60.58	Professional		$60.58	$60.58	$60.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $63.38 / $69.90	Professional		$22.99	$63.38	$69.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $29.68 / $49.99	Professional		$19.57	$29.68	$49.99