Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $87.09 / $87.09	Facility		$87.09	$87.09	$87.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $87.09 / $138.06	Professional		$71.61	$87.09	$138.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.55 / $882.48 / $1,767.16	Facility		$412.55	$882.48	$1,767.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.82	Professional		$10.02	$10.02	$10.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $210.42	Facility		$96.60	$96.60	$210.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $156.75	Professional		$82.11	$96.60	$156.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $13.37 / $100.00	Professional		$11.36	$13.37	$100.00
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 $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.96 / $81.96 / $86.05	Professional		$81.96	$81.96	$86.05
United Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $96.02 / $158.02	Professional		$71.19	$96.02	$158.02