Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $95.18 / $130.72	Facility		$40.93	$95.18	$130.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $40.19 / $95.18	Professional		$36.64	$40.19	$95.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $150.63 / $500.13	Facility		$69.44	$150.63	$500.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.84 / $36.64	Professional		$3.50	$32.84	$36.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $115.99 / $218.89	Facility		$49.73	$115.99	$218.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $57.82 / $72.83	Professional		$31.08	$57.82	$72.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $86.14 / $176.08	Professional		$47.59	$86.14	$176.08
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 $61.87 / $61.87 / $61.87	Professional		$61.87	$61.87	$61.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $32.65 / $59.49	Professional		$23.80	$32.65	$59.49
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $30.31 / $47.59	Professional		$19.98	$30.31	$47.59