Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $63.89 / $76.80	Professional		$52.00	$63.89	$76.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $179.65 / $200.42	Facility		$114.04	$179.65	$200.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $55.46 / $68.06	Professional		$24.30	$55.46	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $135.00	Facility		$74.94	$74.94	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $87.59 / $135.38	Professional		$60.29	$87.59	$135.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $80.66 / $104.90	Professional		$70.13	$80.66	$104.90
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 / $32.34 / $2,500.00	Professional		$30.00	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $73.72 / $123.04	Professional		$54.12	$73.72	$123.04