Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $147.11 / $629.44	Facility		$67.63	$147.11	$629.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $57.28 / $94.23	Professional		$49.60	$57.28	$94.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $170.15 / $902.74	Facility		$93.39	$170.15	$902.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $49.60 / $64.41	Professional		$3.50	$49.60	$64.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $157.77 / $296.33	Facility		$67.30	$157.77	$296.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $78.47 / $98.45	Professional		$42.07	$78.47	$98.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $101.28 / $533.97	Professional		$64.41	$101.28	$533.97
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 $83.73 / $83.73 / $83.73	Professional		$83.73	$83.73	$83.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $38.61 / $80.51	Professional		$23.66	$38.61	$80.51
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $89.99	Professional		$27.05	$38.65	$89.99