Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $128.82 / $176.95	Facility		$55.46	$128.82	$176.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $55.46 / $81.87	Professional		$49.60	$55.46	$81.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $150.93 / $677.04	Facility		$86.35	$150.93	$677.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $49.60 / $49.60	Professional		$44.44	$49.60	$49.60
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 / $103.06 / $430.67	Professional		$64.41	$103.06	$430.67
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 / $35.43 / $80.51	Professional		$23.66	$35.43	$80.51
United Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $128.82 / $128.82	Facility		$37.11	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $66.34	Professional		$27.05	$38.65	$66.34