Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $146.00 / $146.00	Facility		$69.98	$146.00	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $132.91 / $162.91	Professional		$55.09	$132.91	$162.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.36 / $571.36 / $571.36	Facility		$571.36	$571.36	$571.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $124.19 / $150.36	Professional		$73.31	$124.19	$150.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $209.12	Professional		$128.26	$128.26	$209.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $124.19 / $171.30	Professional		$62.98	$124.19	$171.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $139.41 / $214.78	Professional		$30.00	$139.41	$214.78
United Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $168.44 / $299.37	Professional		$126.40	$168.44	$299.37