Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $81.34 / $98.08	Facility		$81.34	$81.34	$98.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $81.34 / $97.97	Professional		$68.65	$81.34	$97.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.23 / $410.02 / $894.34	Facility		$196.23	$410.02	$894.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $98.18 / $158.30	Professional		$36.43	$98.18	$158.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Facility		$100.63	$100.63	$100.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $119.32 / $238.23	Professional		$71.68	$119.32	$238.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $176.43 / $483.64	Professional		$104.27	$176.43	$483.64
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 $105.21 / $107.08 / $123.23	Professional		$105.21	$107.08	$123.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $147.12 / $235.04	Professional		$86.43	$147.12	$235.04