Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.65 / $122.17 / $165.39	Facility		$75.65	$122.17	$165.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $77.41 / $121.81	Professional		$66.39	$77.41	$121.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $306.66 / $1,755.55	Facility		$77.44	$306.66	$1,755.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $81.28 / $131.54	Facility		$60.67	$81.28	$131.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $96.43 / $163.16	Professional		$30.10	$96.43	$163.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $99.46 / $241.06	Professional		$65.38	$99.46	$241.06
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 $80.81 / $82.55 / $90.61	Professional		$80.81	$82.55	$90.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $102.46	Professional		$32.34	$32.34	$102.46
United Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $93.60 / $146.69	Professional		$72.06	$93.60	$146.69