Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $113.78 / $149.58	Facility		$50.43	$113.78	$149.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $49.20 / $78.17	Professional		$30.75	$49.20	$78.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $99.01 / $590.10	Facility		$51.52	$99.01	$590.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $42.44 / $47.36	Professional		$3.50	$42.44	$47.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.98 / $147.13 / $282.92	Facility		$42.98	$147.13	$282.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $70.62 / $89.69	Professional		$24.32	$70.62	$89.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $86.10 / $200.00	Professional		$53.45	$86.10	$200.00
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 $79.95 / $79.95 / $79.95	Professional		$79.95	$79.95	$79.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $33.83 / $76.88	Professional		$22.60	$33.83	$76.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $28.80 / $61.50	Professional		$20.71	$28.80	$61.50