Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $112.20	Facility		$69.18	$107.15	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $181.97	Professional		$64.57	$75.86	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $323.59 / $758.58	Facility		$97.72	$323.59	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $120.23	Facility		$50.12	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $154.88	Professional		$66.07	$102.33	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $331.13	Professional		$69.18	$107.15	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $95.50	Professional		$89.13	$89.13	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $117.49	Facility		$70.79	$77.62	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $144.54	Professional		$58.88	$87.10	$144.54