Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $87.48 / $285.64	Facility		$44.02	$87.48	$285.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $44.08 / $165.08	Professional		$39.42	$44.08	$165.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $113.74 / $538.08	Facility		$69.09	$113.74	$538.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.32 / $39.42	Professional		$3.50	$35.32	$39.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $113.68 / $235.27	Facility		$64.81	$113.68	$235.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $61.63 / $93.06	Professional		$24.99	$61.63	$93.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $89.58 / $225.66	Professional		$58.87	$89.58	$225.66
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 $66.55 / $66.55 / $66.55	Professional		$66.55	$66.55	$66.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $55.02 / $76.79	Professional		$26.86	$55.02	$76.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $54.31 / $84.31	Professional		$30.71	$54.31	$84.31