Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.53 / $80.00 / $202.76	Facility		$51.53	$80.00	$202.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $47.16 / $61.57	Professional		$30.82	$47.16	$61.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $166.97 / $596.94	Facility		$93.81	$166.97	$596.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $60.62 / $63.60	Professional		$47.88	$60.62	$63.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $70.00 / $108.00	Facility		$60.00	$70.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $70.87 / $111.36	Professional		$40.00	$70.87	$111.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $63.62 / $128.72	Professional		$42.34	$63.62	$128.72
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.96 / $2,429.96 / $2,429.96	Facility		$2,429.96	$2,429.96	$2,429.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $54.05 / $58.38	Professional		$52.42	$54.05	$58.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $59.62 / $77.98	Professional		$43.23	$59.62	$77.98