Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.27 / $134.08 / $158.22	Facility		$59.27	$134.08	$158.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $56.51 / $137.84	Professional		$53.07	$56.51	$137.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $70.31 / $644.26	Facility		$25.65	$70.31	$644.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $47.55 / $53.07	Professional		$3.50	$47.55	$53.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $170.86 / $317.17	Facility		$48.16	$170.86	$317.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $80.09 / $104.80	Professional		$57.77	$80.09	$104.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $110.27 / $355.82	Professional		$72.37	$110.27	$355.82
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 $89.60 / $89.60 / $89.60	Professional		$89.60	$89.60	$89.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $47.28 / $86.15	Professional		$34.46	$47.28	$86.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $44.57 / $78.48	Professional		$28.95	$44.57	$78.48