Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $64.57	Facility		$40.74	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $81.28	Professional		$36.31	$41.69	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $645.65	Facility		$93.33	$173.78	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $75.86	Professional		$44.67	$61.66	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $87.10	Professional		$40.74	$56.23	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $263.03	Professional		$47.86	$87.10	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $53.70	Professional		$48.98	$50.12	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $67.61	Facility		$38.90	$47.86	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $81.28	Professional		$39.81	$52.48	$81.28