Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.55 / $145.47	Facility		$45.71	$97.55	$145.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $47.38 / $70.84	Professional		$42.92	$47.38	$70.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $122.50 / $585.85	Facility		$73.98	$122.50	$585.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $38.46 / $42.92	Professional		$3.50	$38.46	$42.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.63 / $123.59 / $256.12	Facility		$70.63	$123.59	$256.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $66.89 / $93.91	Professional		$26.11	$66.89	$93.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $92.64 / $141.91	Professional		$61.59	$92.64	$141.91
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 $72.45 / $72.45 / $72.45	Professional		$72.45	$72.45	$72.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $75.81 / $83.61	Professional		$28.61	$75.81	$83.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $58.58	Professional		$23.41	$33.44	$58.58