Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $139.86 / $176.90	Facility		$65.02	$139.86	$176.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $61.99 / $96.08	Professional		$37.79	$61.99	$96.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $326.77 / $1,000.04	Facility		$102.06	$326.77	$1,000.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $58.21 / $58.21	Professional		$3.50	$58.21	$58.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $180.84 / $348.44	Facility		$49.69	$180.84	$348.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $76.58 / $115.13	Professional		$13.93	$76.58	$115.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $113.40 / $185.56	Professional		$75.59	$113.40	$185.56
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 $98.28 / $98.28 / $98.28	Professional		$98.28	$98.28	$98.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $75.59 / $111.13	Professional		$37.79	$75.59	$111.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $31.75 / $75.59	Professional		$16.46	$31.75	$75.59