Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $134.72 / $185.05	Facility		$58.00	$134.72	$185.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $56.90 / $136.07	Professional		$53.89	$56.90	$136.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.96 / $212.51 / $708.02	Facility		$97.96	$212.51	$708.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $46.48 / $51.87	Professional		$3.50	$46.48	$51.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $164.61 / $309.73	Facility		$70.38	$164.61	$309.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $78.00 / $102.74	Professional		$44.00	$78.00	$102.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $106.23 / $200.00	Professional		$68.70	$106.23	$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 $87.57 / $87.57 / $87.57	Professional		$87.57	$87.57	$87.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $37.04 / $49.50	Professional		$24.75	$37.04	$49.50
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $43.78 / $93.09	Professional		$28.29	$43.78	$93.09