Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $118.75 / $167.54	Facility		$52.64	$118.75	$167.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $52.64 / $112.33	Professional		$49.43	$52.64	$112.33
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 / $44.29 / $49.43	Professional		$3.50	$44.29	$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 $20.98 / $72.73 / $93.36	Professional		$20.98	$72.73	$93.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $100.94 / $243.08	Professional		$64.19	$100.94	$243.08
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 $83.45 / $83.45 / $83.45	Professional		$83.45	$83.45	$83.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $35.29 / $80.23	Professional		$23.58	$35.29	$80.23
United Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $67.40 / $158.55	Facility		$64.19	$67.40	$158.55
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $26.96 / $64.19	Professional		$17.14	$26.96	$64.19