Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $99.42 / $170.68	Facility		$50.95	$99.42	$170.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $50.95 / $64.33	Professional		$49.71	$50.95	$64.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.60 / $100.04	Facility		$18.89	$47.60	$100.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $45.46 / $47.85	Professional		$3.50	$45.46	$47.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $151.80 / $285.89	Facility		$69.88	$151.80	$285.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $66.48 / $85.79	Professional		$32.68	$66.48	$85.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $283.80 / $406.50	Professional		$62.14	$283.80	$406.50
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $42.63 / $77.68	Professional		$31.07	$42.63	$77.68
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $64.00	Professional		$26.10	$37.28	$64.00