Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.33 / $131.78 / $199.53	Facility		$61.33	$131.78	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $58.41 / $130.53	Professional		$54.85	$58.41	$130.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $124.16 / $683.38	Facility		$69.23	$124.16	$683.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $49.15 / $54.85	Professional		$3.50	$49.15	$54.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $170.38 / $327.60	Facility		$57.69	$170.38	$327.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $81.77 / $108.41	Professional		$34.19	$81.77	$108.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $100.43 / $325.87	Professional		$56.98	$100.43	$325.87
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 $92.60 / $92.60 / $92.60	Professional		$92.60	$92.60	$92.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $35.61 / $71.23	Professional		$2.83	$35.61	$71.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $42.00 / $73.12	Professional		$28.32	$42.00	$73.12