Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $100.50 / $739.50	Facility		$49.03	$100.50	$739.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $42.73 / $131.07	Professional		$25.98	$42.73	$131.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $153.33 / $515.28	Facility		$71.09	$153.33	$515.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.86 / $37.75	Professional		$3.50	$35.86	$37.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $120.25 / $226.34	Facility		$51.22	$120.25	$226.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $59.89 / $74.86	Professional		$32.03	$59.89	$74.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $88.74 / $251.09	Professional		$51.00	$88.74	$251.09
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 $63.74 / $63.74 / $63.74	Professional		$63.74	$63.74	$63.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $26.97 / $61.29	Professional		$12.39	$26.97	$61.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $30.06 / $50.50	Professional		$20.59	$30.06	$50.50