Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $58.84 / $137.10	Facility		$30.92	$58.84	$137.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $76.81 / $120.26	Professional		$29.74	$76.81	$120.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $274.29 / $683.73	Facility		$107.57	$274.29	$683.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $93.36 / $172.77	Professional		$46.07	$93.36	$172.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $101.95 / $195.07	Facility		$46.38	$101.95	$195.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $81.87 / $149.81	Professional		$31.74	$81.87	$149.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $110.01 / $250.58	Professional		$36.60	$110.01	$250.58
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 $34.76 / $35.50 / $106.73	Professional		$34.76	$35.50	$106.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.69	Professional		$32.34	$32.34	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $108.59 / $174.60	Professional		$78.30	$108.59	$174.60