Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $131.96 / $168.62	Facility		$65.98	$131.96	$168.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $65.98 / $102.27	Professional		$7.94	$65.98	$102.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $35.86 / $771.94	Facility		$12.95	$35.86	$771.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $61.95 / $61.95	Professional		$4.50	$61.95	$61.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $192.46 / $370.78	Facility		$21.44	$192.46	$370.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $88.51 / $117.49	Professional		$6.13	$88.51	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $112.64 / $201.40	Professional		$47.36	$112.64	$201.40
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 $104.60 / $104.60 / $104.60	Professional		$104.60	$104.60	$104.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $44.25 / $100.58	Professional		$5.75	$44.25	$100.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $33.79 / $80.45	Professional		$5.45	$33.79	$80.45