Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $125.31 / $150.72	Facility		$55.39	$125.31	$150.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $55.39 / $81.87	Professional		$34.14	$55.39	$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 $3.50 / $44.44 / $49.60	Professional		$3.50	$44.44	$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 / $74.67 / $98.09	Professional		$42.07	$74.67	$98.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $111.25 / $360.75	Professional		$65.70	$111.25	$360.75
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 Professional Modifier Low / Median / High Price $27.05 / $38.65 / $66.34	Professional		$27.05	$38.65	$66.34