Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $59.94 / $325.68	Facility		$46.04	$59.94	$325.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $45.60 / $64.15	Professional		$38.92	$45.60	$64.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.55 / $160.63 / $761.40	Facility		$95.55	$160.63	$761.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $67.70 / $73.33	Professional		$45.91	$67.70	$73.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $69.27	Facility		$69.27	$69.27	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $61.87 / $96.83	Professional		$44.72	$61.87	$96.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $63.33 / $231.70	Professional		$43.46	$63.33	$231.70
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 $51.12 / $53.43 / $57.89	Professional		$51.12	$53.43	$57.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.45	Professional		$32.34	$32.34	$65.45
United Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $68.11 / $68.11	Facility		$68.11	$68.11	$68.11
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $61.47 / $98.40	Professional		$42.76	$61.47	$98.40