Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $199.53	Facility		$64.57	$128.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $131.83	Professional		$56.23	$70.79	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $1,023.29	Facility		$162.18	$275.42	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $28.84 / $144.54	Professional		$10.96	$28.84	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $245.47	Facility		$57.54	$144.54	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $147.91	Professional		$63.10	$91.20	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $316.23	Professional		$67.61	$107.15	$316.23
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 $75.86 / $79.43 / $85.11	Professional		$75.86	$79.43	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $33.11 / $43.65	Professional		$4.79	$33.11	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $39.81 / $79.43	Facility		$5.01	$39.81	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $144.54	Professional		$67.61	$97.72	$144.54