Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $116.00 / $174.00	Facility		$49.94	$116.00	$174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $49.88 / $123.89	Professional		$46.40	$49.88	$123.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $245.63 / $600.36	Facility		$98.15	$245.63	$600.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $40.02 / $44.66	Professional		$3.50	$40.02	$44.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $83.12 / $88.28	Professional		$66.48	$83.12	$88.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $101.50 / $246.61	Professional		$60.90	$101.50	$246.61
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 $75.40 / $75.40 / $75.40	Professional		$75.40	$75.40	$75.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $31.90 / $72.50	Professional		$17.69	$31.90	$72.50
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $43.03 / $67.73	Professional		$24.36	$43.03	$67.73