Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $67.61 / $83.18	Facility		$22.91	$67.61	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $645.65 / $1,258.93	Facility		$239.88	$645.65	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $70.79	Professional		$23.44	$35.48	$70.79
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 $27.54 / $28.18 / $30.20	Professional		$27.54	$28.18	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $54.95	Professional		$17.38	$17.38	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $79.43	Professional		$66.07	$79.43	$79.43