Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $166.23 / $222.28	Facility		$77.89	$166.23	$222.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $77.89 / $120.73	Professional		$73.14	$77.89	$120.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $408.85 / $1,256.54	Facility		$128.22	$408.85	$1,256.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $65.54 / $73.14	Professional		$3.50	$65.54	$73.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $211.05 / $437.79	Facility		$57.54	$211.05	$437.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $116.01 / $160.52	Professional		$48.64	$116.01	$160.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $142.49 / $223.51	Professional		$104.49	$142.49	$223.51
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 $123.49 / $123.49 / $123.49	Professional		$123.49	$123.49	$123.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $129.19 / $142.49	Professional		$29.50	$129.19	$142.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $56.99 / $94.99	Professional		$39.90	$56.99	$94.99