Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.94 / $100.25 / $484.80	Facility		$50.94	$100.25	$484.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $38.18 / $68.50	Professional		$34.27	$38.18	$68.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $119.50 / $507.30	Facility		$59.97	$119.50	$507.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $29.56 / $32.99	Professional		$3.50	$29.56	$32.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $104.90 / $196.56	Facility		$54.42	$104.90	$196.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $52.10 / $84.61	Professional		$21.84	$52.10	$84.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $83.79 / $502.19	Professional		$47.34	$83.79	$502.19
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 $55.69 / $55.69 / $55.69	Professional		$55.69	$55.69	$55.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $47.91 / $64.26	Professional		$22.49	$47.91	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.85 / $50.03	Professional		$17.98	$27.85	$50.03