Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.13 / $89.79 / $140.93	Facility		$44.13	$89.79	$140.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $42.07 / $70.45	Professional		$39.51	$42.07	$70.45
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 $70.67 / $127.74 / $236.76	Facility		$70.67	$127.74	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $62.60 / $91.36	Professional		$26.31	$62.60	$91.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $100.00 / $410.42	Professional		$56.70	$100.00	$410.42
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 $69.78 / $69.78 / $76.97	Professional		$69.78	$69.78	$76.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $33.35 / $59.93	Professional		$21.55	$33.35	$59.93