Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $102.75 / $127.51	Facility		$47.76	$102.75	$127.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $46.91 / $102.75	Professional		$44.43	$46.91	$102.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $153.04 / $532.83	Facility		$80.53	$153.04	$532.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $132.85 / $256.12	Facility		$62.52	$132.85	$256.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $64.66 / $84.66	Professional		$37.94	$64.66	$84.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $97.20 / $332.92	Professional		$58.32	$97.20	$332.92
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 $72.20 / $72.20 / $72.20	Professional		$72.20	$72.20	$72.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $38.10 / $69.43	Professional		$27.77	$38.10	$69.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $55.54	Professional		$23.33	$33.32	$55.54