Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $81.55 / $121.63	Facility		$38.21	$81.55	$121.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $39.36 / $60.39	Professional		$36.35	$39.36	$60.39
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 $86.22 / $146.03 / $403.71	Facility		$86.22	$146.03	$403.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $56.91 / $78.62	Professional		$23.83	$56.91	$78.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $84.35 / $257.17	Professional		$51.26	$84.35	$257.17
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 $60.58 / $60.58 / $60.58	Professional		$60.58	$60.58	$60.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $63.38 / $69.90	Professional		$34.25	$63.38	$69.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $29.07 / $49.99	Professional		$19.57	$29.07	$49.99