Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $77.62 / $365.80	Facility		$43.32	$77.62	$365.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $57.60 / $102.31	Professional		$43.66	$57.60	$102.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $215.20 / $911.37	Facility		$127.20	$215.20	$911.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $80.50 / $80.50	Professional		$56.89	$80.50	$80.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $59.92 / $107.70	Facility		$28.65	$59.92	$107.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $67.34 / $107.09	Professional		$43.74	$67.34	$107.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $117.11 / $185.25	Professional		$93.02	$117.11	$185.25
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 $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $85.42 / $89.69	Professional		$59.79	$85.42	$89.69
United Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $50.63 / $90.71	Professional		$32.43	$50.63	$90.71