Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $43.52 / $460.41	Facility		$29.70	$43.52	$460.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $34.00 / $50.07	Professional		$27.01	$34.00	$50.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $300.26 / $771.60	Facility		$109.48	$300.26	$771.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $45.42 / $163.28	Professional		$28.61	$45.42	$163.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.44 / $798.43 / $1,527.66	Facility		$720.44	$798.43	$1,527.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $40.24 / $75.09	Professional		$27.00	$40.24	$75.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $42.77 / $376.53	Professional		$28.37	$42.77	$376.53
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 $30.21 / $31.77 / $33.53	Professional		$30.21	$31.77	$33.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $37.90	Professional		$32.34	$32.34	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $48.61 / $73.69	Professional		$28.58	$48.61	$73.69