Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $80.98 / $193.45	Facility		$50.49	$80.98	$193.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $96.90	Professional		$69.20	$69.22	$96.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,603.60 / $4,622.80 / $8,200.00	Facility		$3,603.60	$4,622.80	$8,200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $79.80	Professional		$79.80	$79.80	$79.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $98.35 / $169.17	Professional		$78.31	$98.35	$169.17
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $84.81 / $92.83	Professional		$77.36	$84.81	$92.83