Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $251.06 / $990.27	Facility		$58.31	$251.06	$990.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.29 / $239.40	Professional		$40.65	$42.29	$239.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $197.50 / $639.74	Facility		$124.03	$197.50	$639.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $47.41 / $52.68	Professional		$47.41	$47.41	$52.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Facility		$40.65	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $53.69	Professional		$40.65	$40.65	$53.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $84.29 / $259.64	Professional		$40.65	$84.29	$259.64
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 $52.85 / $52.85 / $52.85	Professional		$52.85	$52.85	$52.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $58.63 / $62.82	Professional		$41.88	$58.63	$62.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.35	Professional		$40.65	$40.65	$54.35