Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $259.92 / $562.02	Facility		$75.84	$259.92	$562.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $64.59 / $100.11	Professional		$33.14	$64.59	$100.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.27 / $147.40 / $894.22	Facility		$63.27	$147.40	$894.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $60.65 / $78.77	Professional		$3.50	$60.65	$78.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $188.42 / $363.33	Facility		$55.04	$188.42	$363.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $85.79 / $115.39	Professional		$31.90	$85.79	$115.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $103.17 / $150.06	Professional		$54.80	$103.17	$150.06
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 $102.40 / $102.40 / $102.40	Professional		$102.40	$102.40	$102.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $43.32 / $98.46	Professional		$11.42	$43.32	$98.46
United Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $33.08 / $78.77	Professional		$17.39	$33.08	$78.77