Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $82.40 / $82.40	Facility		$82.40	$82.40	$82.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $82.40 / $146.63	Professional		$68.43	$82.40	$146.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.90 / $370.67 / $1,286.01	Facility		$174.90	$370.67	$1,286.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $110.05 / $110.05	Professional		$110.05	$110.05	$110.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $161.40	Facility		$88.15	$88.15	$161.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $170.25	Professional		$74.93	$88.15	$170.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $197.60 / $247.40	Professional		$139.38	$197.60	$247.40
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 $190.75 / $190.75 / $190.75	Professional		$190.75	$190.75	$190.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $183.41 / $220.10	Professional		$69.93	$183.41	$220.10
United Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $82.22 / $146.72	Facility		$42.14	$82.22	$146.72
United Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $73.20 / $125.67	Professional		$51.56	$73.20	$125.67