Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $79.93 / $130.22	Facility		$50.93	$79.93	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $72.84 / $104.18	Professional		$50.19	$72.84	$104.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.79 / $690.48 / $1,382.68	Facility		$322.79	$690.48	$1,382.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $96.57 / $134.29	Professional		$51.95	$96.57	$134.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $105.63 / $168.15	Professional		$77.18	$105.63	$168.15
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 $87.44 / $91.75 / $98.09	Professional		$87.44	$91.75	$98.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.91	Professional		$32.34	$32.34	$110.91
United Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $101.85 / $101.85	Facility		$101.85	$101.85	$101.85
United Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $58.38 / $114.24	Professional		$35.35	$58.38	$114.24