Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $89.16 / $178.89	Facility		$53.40	$89.16	$178.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $57.51 / $63.26	Professional		$53.40	$57.51	$63.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $28.12 / $479.27	Facility		$9.60	$28.12	$479.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $63.84 / $73.00	Professional		$56.53	$63.84	$73.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Facility		$57.51	$57.51	$57.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $67.81	Professional		$57.51	$57.51	$67.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $57.51 / $86.27	Professional		$12.31	$57.51	$86.27
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 $74.76 / $74.76 / $74.76	Professional		$74.76	$74.76	$74.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $70.06 / $75.06	Professional		$50.04	$70.06	$75.06
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $61.84	Professional		$57.51	$57.51	$61.84