Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $82.25 / $122.67	Facility		$38.54	$82.25	$122.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.54 / $56.40	Professional		$32.50	$38.54	$56.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $202.30 / $621.74	Facility		$63.45	$202.30	$621.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.43 / $36.19	Professional		$3.50	$32.43	$36.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $104.33 / $215.92	Facility		$48.96	$104.33	$215.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.35 / $79.17	Professional		$23.99	$57.35	$79.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $85.07 / $216.66	Professional		$51.70	$85.07	$216.66
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 $61.10 / $61.10 / $61.10	Professional		$61.10	$61.10	$61.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $63.92 / $70.50	Professional		$34.54	$63.92	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.20 / $47.00	Professional		$19.73	$28.20	$47.00