Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $81.31 / $116.04	Facility		$40.65	$81.31	$116.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $41.88 / $63.02	Professional		$38.18	$41.88	$63.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $226.80 / $655.93	Facility		$67.93	$226.80	$655.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $34.22 / $38.18	Professional		$3.50	$34.22	$38.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $121.11 / $227.83	Facility		$62.73	$121.11	$227.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $61.43 / $90.12	Professional		$25.71	$61.43	$90.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $89.76 / $318.83	Professional		$54.55	$89.76	$318.83
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 $64.47 / $64.47 / $64.47	Professional		$64.47	$64.47	$64.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $67.44 / $74.39	Professional		$22.99	$67.44	$74.39
United Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $52.07 / $122.49	Facility		$49.59	$52.07	$122.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $37.21 / $57.91	Professional		$20.83	$37.21	$57.91