Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $100.59 / $143.09	Facility		$57.01	$100.59	$143.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $59.11 / $124.15	Professional		$50.93	$59.11	$124.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.80 / $586.42 / $1,106.20	Facility		$365.80	$586.42	$1,106.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $89.03 / $139.16	Professional		$76.53	$89.03	$139.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $144.08 / $408.86	Facility		$81.45	$144.08	$408.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $93.57 / $268.81	Professional		$52.63	$93.57	$268.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $258.17 / $396.23	Professional		$66.58	$258.17	$396.23
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 $32.34 / $32.34 / $89.89	Professional		$32.34	$32.34	$89.89
United Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $98.08 / $240.82	Professional		$60.62	$98.08	$240.82