Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $102.59 / $153.00	Facility		$48.07	$102.59	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $48.07 / $88.69	Professional		$45.14	$48.07	$88.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $125.00 / $616.16	Facility		$77.37	$125.00	$616.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $130.01 / $269.52	Facility		$74.37	$130.01	$269.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $68.87 / $106.61	Professional		$26.76	$68.87	$106.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $99.65 / $288.88	Professional		$64.78	$99.65	$288.88
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 $76.20 / $76.20 / $76.20	Professional		$76.20	$76.20	$76.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.33 / $43.08 / $87.93	Professional		$19.33	$43.08	$87.93
United Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $61.55 / $144.79	Facility		$58.62	$61.55	$144.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $35.17 / $61.25	Professional		$24.62	$35.17	$61.25