Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $109.30 / $166.94	Facility		$61.56	$109.30	$166.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.01 / $76.93	Professional		$45.00	$55.01	$76.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $275.30 / $846.11	Facility		$86.34	$275.30	$846.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $44.13 / $49.25	Professional		$3.50	$44.13	$49.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.70 / $142.03 / $294.83	Facility		$64.70	$142.03	$294.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $77.92 / $108.11	Professional		$31.24	$77.92	$108.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $111.93 / $354.06	Professional		$70.36	$111.93	$354.06
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 $83.15 / $83.15 / $83.15	Professional		$83.15	$83.15	$83.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $86.99 / $95.94	Professional		$22.99	$86.99	$95.94
United Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $76.75 / $76.75	Facility		$76.75	$76.75	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $67.22	Professional		$26.86	$38.38	$67.22