Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.38 / $59.38 / $59.38	Facility		$59.38	$59.38	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $60.48 / $95.56	Professional		$52.58	$60.48	$95.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $234.03 / $994.02	Facility		$138.33	$234.03	$994.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $87.80 / $87.80	Professional		$76.72	$87.80	$87.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $66.37 / $142.29	Facility		$66.37	$66.37	$142.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $66.37 / $133.88	Professional		$48.45	$66.37	$133.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $143.26 / $174.91	Professional		$103.98	$143.26	$174.91
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 $150.19 / $150.19 / $150.19	Professional		$150.19	$150.19	$150.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $66.67 / $70.00	Professional		$46.66	$66.67	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $57.64 / $101.20	Professional		$43.47	$57.64	$101.20