Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $84.14 / $120.07	Facility		$42.07	$84.14	$120.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $43.61 / $67.52	Professional		$39.51	$43.61	$67.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $234.72 / $678.78	Facility		$70.29	$234.72	$678.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.40 / $39.51	Professional		$3.50	$35.40	$39.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $125.37 / $236.76	Facility		$65.23	$125.37	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $62.60 / $98.39	Professional		$26.31	$62.60	$98.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $76.97 / $137.41	Professional		$56.44	$76.97	$137.41
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 $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $69.78 / $76.97	Professional		$22.75	$69.78	$76.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $31.36 / $59.93	Professional		$21.55	$31.36	$59.93