Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $139.63 / $246.19	Facility		$73.48	$139.63	$246.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $139.63	Professional		$73.48	$73.48	$139.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.23 / $163.98 / $585.69	Facility		$82.23	$163.98	$585.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.36 / $70.29	Professional		$3.50	$8.36	$70.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.54 / $153.66 / $323.13	Facility		$68.54	$153.66	$323.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $97.66 / $127.82	Professional		$73.48	$97.66	$127.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $112.46 / $239.92	Professional		$77.05	$112.46	$239.92
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 $91.38 / $91.38 / $91.38	Professional		$91.38	$91.38	$91.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $103.33	Professional		$30.00	$30.00	$103.33
United Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $48.63 / $83.11	Professional		$35.40	$48.63	$83.11