Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $101.50 / $135.72	Facility		$47.56	$101.50	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $47.56 / $69.59	Professional		$23.42	$47.56	$69.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $79.45 / $609.60	Facility		$36.79	$79.45	$609.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $40.02 / $44.66	Professional		$3.50	$40.02	$44.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $128.99 / $266.54	Facility		$42.32	$128.99	$266.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $42.87 / $97.73	Professional		$12.53	$42.87	$97.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $77.87 / $121.80	Professional		$49.20	$77.87	$121.80
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 $75.40 / $75.40 / $75.40	Professional		$75.40	$75.40	$75.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $42.63 / $87.00	Professional		$13.75	$42.63	$87.00
United Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $33.61 / $33.61	Facility		$33.61	$33.61	$33.61
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $31.36 / $52.70	Professional		$15.52	$31.36	$52.70