Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $49.88 / $101.68	Facility		$45.68	$49.88	$101.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $46.52 / $70.80	Professional		$35.69	$46.52	$70.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.53 / $180.23 / $764.62	Facility		$106.53	$180.23	$764.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $67.54 / $67.54	Professional		$57.28	$67.54	$67.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $97.26	Facility		$49.61	$49.61	$97.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $103.13	Professional		$36.22	$36.22	$103.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $97.76 / $136.85	Professional		$79.27	$97.76	$136.85
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 $115.53 / $115.53 / $115.53	Professional		$115.53	$115.53	$115.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $66.98 / $70.32	Professional		$46.88	$66.98	$70.32
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $44.33 / $78.50	Professional		$33.00	$44.33	$78.50