Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $75.15 / $264.39	Facility		$75.15	$75.15	$264.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $133.49	Professional		$75.15	$75.15	$133.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $172.18 / $1,039.51	Facility		$59.20	$172.18	$1,039.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Professional		$79.89	$79.89	$79.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $105.21 / $140.61	Professional		$75.15	$105.21	$140.61
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 $97.70 / $97.70 / $97.70	Professional		$97.70	$97.70	$97.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $65.40	Professional		$17.54	$17.54	$65.40
United Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $85.21 / $88.67	Professional		$72.20	$85.21	$88.67