Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $50.41 / $254.38	Facility		$50.41	$50.41	$254.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $50.41 / $78.47	Professional		$39.40	$50.41	$78.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $199.06 / $843.98	Facility		$117.66	$199.06	$843.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $74.55 / $74.55	Professional		$63.22	$74.55	$74.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $107.38	Facility		$66.58	$66.58	$107.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $113.63	Professional		$48.60	$66.58	$113.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $114.08 / $140.41	Professional		$91.32	$114.08	$140.41
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 $127.52 / $127.52 / $127.52	Professional		$127.52	$127.52	$127.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $73.94 / $77.63	Professional		$51.75	$73.94	$77.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $48.70 / $83.59	Professional		$36.43	$48.70	$83.59