Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $118.75 / $192.57	Facility		$61.79	$118.75	$192.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $52.64 / $81.59	Professional		$32.10	$52.64	$81.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $276.31 / $849.20	Facility		$86.65	$276.31	$849.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $46.96 / $49.43	Professional		$3.50	$46.96	$49.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $153.53 / $294.83	Facility		$44.85	$153.53	$294.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $73.51 / $96.99	Professional		$28.03	$73.51	$96.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $102.70 / $301.20	Professional		$65.47	$102.70	$301.20
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 $83.45 / $83.45 / $83.45	Professional		$83.45	$83.45	$83.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $35.29 / $47.17	Professional		$17.13	$35.29	$47.17
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $32.64 / $67.45	Professional		$22.85	$32.64	$67.45