Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $121.81 / $249.65	Facility		$63.79	$121.81	$249.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $76.45 / $94.47	Professional		$60.95	$76.45	$94.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $388.22 / $983.21	Facility		$101.83	$388.22	$983.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $51.29 / $57.23	Professional		$3.50	$51.29	$57.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $179.97 / $342.49	Facility		$94.31	$179.97	$342.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $90.62 / $135.47	Professional		$38.65	$90.62	$135.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $130.08 / $294.64	Professional		$81.76	$130.08	$294.64
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 $96.63 / $96.63 / $96.63	Professional		$96.63	$96.63	$96.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $101.09 / $111.50	Professional		$22.99	$101.09	$111.50
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $54.51 / $84.95	Professional		$31.22	$54.51	$84.95