Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $73.23 / $134.90	Facility		$51.74	$73.23	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $63.22 / $88.47	Professional		$51.74	$63.22	$88.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.02 / $314.64 / $1,159.71	Facility		$132.02	$314.64	$1,159.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $82.86 / $85.99	Professional		$77.47	$82.86	$85.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $92.97 / $129.25	Professional		$58.21	$92.97	$129.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $108.46 / $176.72	Professional		$77.47	$108.46	$176.72
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 $97.86 / $100.71 / $107.71	Professional		$97.86	$100.71	$107.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.60	Professional		$32.34	$32.34	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $91.41 / $155.78	Professional		$67.91	$91.41	$155.78