Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.58 / $162.58 / $241.40	Facility		$75.58	$162.58	$241.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $72.06 / $162.58	Professional		$67.67	$72.06	$162.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $153.79 / $843.09	Facility		$88.55	$153.79	$843.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $64.29 / $67.67	Professional		$3.50	$64.29	$67.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $210.20 / $405.03	Facility		$71.00	$210.20	$405.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $101.19 / $133.71	Professional		$45.00	$101.19	$133.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $114.24 / $169.88	Professional		$75.12	$114.24	$169.88
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 $114.24 / $114.24 / $114.24	Professional		$114.24	$114.24	$114.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $48.33 / $109.85	Professional		$32.29	$48.33	$109.85
United Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $52.73 / $89.99	Professional		$36.47	$52.73	$89.99