Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $84.42 / $125.91	Facility		$39.56	$84.42	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $39.56 / $72.66	Professional		$37.14	$39.56	$72.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $100.04 / $506.96	Facility		$63.55	$100.04	$506.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $33.29 / $37.14	Professional		$3.50	$33.29	$37.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.07 / $107.12 / $221.87	Facility		$61.07	$107.12	$221.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $56.53 / $87.71	Professional		$22.05	$56.53	$87.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $77.18 / $129.19	Professional		$53.31	$77.18	$129.19
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 $62.71 / $62.71 / $62.71	Professional		$62.71	$62.71	$62.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $65.61 / $72.36	Professional		$24.04	$65.61	$72.36
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $28.94 / $50.70	Professional		$20.26	$28.94	$50.70