Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.66 / $58.66 / $89.09	Facility		$58.66	$58.66	$89.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $59.53 / $86.30	Professional		$45.37	$59.53	$86.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.11 / $565.66 / $1,233.81	Facility		$157.11	$565.66	$1,233.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $119.03 / $119.03	Professional		$75.56	$119.03	$119.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $129.49 / $196.87	Professional		$110.81	$129.49	$196.87
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 $59.55 / $161.88 / $178.55	Professional		$59.55	$161.88	$178.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $59.38 / $105.14	Professional		$45.32	$59.38	$105.14