Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $145.50 / $214.26	Facility		$67.64	$145.50	$214.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $64.48 / $99.96	Professional		$39.32	$64.48	$99.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $132.83 / $754.53	Facility		$74.06	$132.83	$754.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $57.53 / $60.56	Professional		$3.50	$57.53	$60.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $188.12 / $361.84	Facility		$54.96	$188.12	$361.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $90.45 / $114.87	Professional		$28.03	$90.45	$114.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $110.90 / $313.54	Professional		$76.56	$110.90	$313.54
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 $102.25 / $102.25 / $102.25	Professional		$102.25	$102.25	$102.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $43.26 / $98.31	Professional		$28.89	$43.26	$98.31
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $34.00 / $78.65	Professional		$24.26	$34.00	$78.65