Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $59.51 / $65.38	Facility		$59.51	$59.51	$65.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $60.32 / $84.87	Professional		$46.55	$60.32	$84.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $234.03 / $996.25	Facility		$138.33	$234.03	$996.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $88.00 / $88.00	Professional		$74.63	$88.00	$88.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $126.74	Facility		$64.66	$64.66	$126.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $75.00 / $102.90	Professional		$47.20	$75.00	$102.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $121.58 / $150.53	Professional		$92.63	$121.58	$150.53
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 $150.53 / $150.53 / $150.53	Professional		$150.53	$150.53	$150.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $93.39 / $98.05	Professional		$65.37	$93.39	$98.05
United Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $57.48 / $99.17	Professional		$43.02	$57.48	$99.17