Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $143.88 / $276.00	Facility		$74.86	$143.88	$276.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $63.78 / $100.80	Professional		$49.63	$63.78	$100.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $127.05 / $746.26	Facility		$70.84	$127.05	$746.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $59.89 / $59.89	Professional		$3.50	$59.89	$59.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $186.06 / $357.38	Facility		$54.35	$186.06	$357.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $89.21 / $113.29	Professional		$26.73	$89.21	$113.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $122.31 / $357.57	Professional		$77.78	$122.31	$357.57
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 $101.11 / $101.11 / $101.11	Professional		$101.11	$101.11	$101.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $42.78 / $97.23	Professional		$28.58	$42.78	$97.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $32.67 / $77.78	Professional		$21.00	$32.67	$77.78