Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $98.66 / $680.52	Facility		$86.77	$98.66	$680.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $75.30 / $865.64	Professional		$57.35	$75.30	$865.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $111.60 / $862.37	Facility		$38.64	$111.60	$862.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $64.66 / $82.70	Professional		$54.96	$64.66	$82.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $76.95 / $121.84	Professional		$58.41	$76.95	$121.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $81.16 / $212.77	Professional		$60.12	$81.16	$212.77
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 $67.65 / $72.77 / $78.16	Professional		$67.65	$72.77	$78.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.38	Professional		$32.34	$32.34	$88.38
United Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $77.80 / $141.34	Professional		$55.66	$77.80	$141.34