Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $74.54 / $114.70	Facility		$35.90	$74.54	$114.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $34.24 / $55.51	Professional		$22.13	$34.24	$55.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $117.11 / $494.60	Facility		$58.46	$117.11	$494.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $28.81 / $32.15	Professional		$3.50	$28.81	$32.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.18 / $102.35 / $192.09	Facility		$53.18	$102.35	$192.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $50.78 / $82.53	Professional		$21.34	$50.78	$82.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $80.77 / $123.08	Professional		$46.14	$80.77	$123.08
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 $54.29 / $54.29 / $54.29	Professional		$54.29	$54.29	$54.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $56.79 / $62.64	Professional		$18.82	$56.79	$62.64
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $31.28 / $48.77	Professional		$17.54	$31.28	$48.77