Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $93.57 / $139.56	Facility		$43.85	$93.57	$139.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $45.98 / $67.97	Professional		$41.17	$45.98	$67.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $100.04 / $561.97	Facility		$64.37	$100.04	$561.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $36.89 / $41.17	Professional		$3.50	$36.89	$41.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $118.77 / $245.70	Facility		$67.72	$118.77	$245.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $62.13 / $87.90	Professional		$21.89	$62.13	$87.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $86.47 / $136.13	Professional		$59.08	$86.47	$136.13
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 $69.51 / $69.51 / $69.51	Professional		$69.51	$69.51	$69.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $72.72 / $80.20	Professional		$23.95	$72.72	$80.20
United Facility/Professional Facility Modifier Low / Median / High Price $58.61 / $58.61 / $58.61	Facility		$58.61	$58.61	$58.61
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $29.71 / $56.20	Professional		$22.46	$29.71	$56.20