Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.79 / $128.61 / $179.82	Facility		$59.79	$128.61	$179.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $59.79 / $128.61	Professional		$55.62	$59.79	$128.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $200.93 / $667.00	Facility		$107.21	$200.93	$667.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $50.85 / $53.53	Professional		$3.50	$50.85	$53.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.97 / $166.30 / $320.14	Facility		$77.97	$166.30	$320.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $80.92 / $105.84	Professional		$58.30	$80.92	$105.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $111.23 / $1,011.10	Professional		$73.00	$111.23	$1,011.10
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 $90.38 / $90.38 / $90.38	Professional		$90.38	$90.38	$90.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $47.69 / $86.90	Professional		$34.76	$47.69	$86.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $41.71 / $69.52	Professional		$29.20	$41.71	$69.52