Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $60.74 / $60.74	Facility		$60.74	$60.74	$60.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $60.74 / $108.10	Professional		$50.45	$60.74	$108.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $273.22 / $947.92	Facility		$128.79	$273.22	$947.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $81.13 / $81.13	Professional		$51.23	$81.13	$81.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $118.99 / $118.99	Facility		$118.99	$118.99	$118.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $125.25	Professional		$44.13	$44.13	$125.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $130.81 / $168.96	Professional		$106.65	$130.81	$168.96
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 $140.62 / $140.62 / $140.62	Professional		$140.62	$140.62	$140.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $135.21 / $162.26	Professional		$51.53	$135.21	$162.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $53.96 / $94.75	Professional		$37.99	$53.96	$94.75