Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $118.18 / $258.79	Facility		$55.73	$118.18	$258.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $51.01 / $83.82	Professional		$38.63	$51.01	$83.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $195.96 / $680.13	Facility		$96.00	$195.96	$680.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $56.98 / $56.98	Professional		$56.98	$56.98	$56.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Facility		$54.60	$54.60	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $71.66 / $106.58	Professional		$43.79	$71.66	$106.58
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 $51.75 / $51.75 / $51.75	Professional		$51.75	$51.75	$51.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $57.62 / $58.86	Professional		$49.05	$57.62	$58.86