Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $111.07 / $178.66	Facility		$50.78	$111.07	$178.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $53.95	Professional		$50.78	$50.78	$53.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $133.27 / $596.53	Facility		$83.72	$133.27	$596.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $150.00 / $345.40	Professional		$67.91	$150.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $57.12	Professional		$52.89	$52.89	$57.12