Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $100.00	Professional		$70.79	$81.28	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $112.20	Professional		$75.86	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $141.25	Professional		$60.26	$87.10	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.26 / $77.62	Professional		$0.85	$1.26	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $162.18	Professional		$74.13	$104.71	$162.18