Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $69.31 / $113.87	Facility		$53.42	$69.31	$113.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $52.19 / $68.34	Professional		$44.58	$52.19	$68.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.20 / $169.35 / $851.15	Facility		$109.20	$169.35	$851.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $76.72 / $84.08	Professional		$52.64	$76.72	$84.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $78.48 / $78.48	Facility		$78.48	$78.48	$78.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $70.45 / $110.04	Professional		$51.24	$70.45	$110.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.83 / $72.61 / $282.52	Professional		$49.83	$72.61	$282.52
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 $57.89 / $60.55 / $66.40	Professional		$57.89	$60.55	$66.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.09	Professional		$32.34	$32.34	$75.09
United Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $72.20 / $113.23	Professional		$48.48	$72.20	$113.23