Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $83.76 / $119.50	Facility		$43.97	$83.76	$119.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $43.92 / $71.81	Professional		$39.83	$43.92	$71.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $219.79 / $675.51	Facility		$68.94	$219.79	$675.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.24 / $39.32	Professional		$3.50	$35.24	$39.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.76 / $113.68 / $235.27	Facility		$67.76	$113.68	$235.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $62.16 / $86.27	Professional		$26.14	$62.16	$86.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $92.44 / $662.32	Professional		$56.18	$92.44	$662.32
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 $66.39 / $66.39 / $66.39	Professional		$66.39	$66.39	$66.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $69.45 / $76.61	Professional		$22.99	$69.45	$76.61
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $53.67	Professional		$21.45	$30.64	$53.67