Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.25 / $120.05 / $188.44	Facility		$56.25	$120.05	$188.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $57.94 / $112.64	Professional		$52.82	$57.94	$112.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.98 / $313.77 / $907.44	Facility		$93.98	$313.77	$907.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $47.33 / $52.82	Professional		$3.50	$47.33	$52.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $168.01 / $315.68	Facility		$87.24	$168.01	$315.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $84.83 / $140.16	Professional		$35.08	$84.83	$140.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $118.04 / $313.54	Professional		$75.45	$118.04	$313.54
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 $89.18 / $89.18 / $89.18	Professional		$89.18	$89.18	$89.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $50.42 / $102.90	Professional		$12.88	$50.42	$102.90
United Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $68.59 / $102.49	Professional		$41.16	$68.59	$102.49