Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $138.04	Facility		$87.10	$87.10	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $138.04	Professional		$70.79	$87.10	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $891.25 / $1,698.24	Facility		$331.13	$891.25	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.72	Professional		$10.00	$10.00	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $213.80	Facility		$95.50	$95.50	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $158.49	Professional		$81.28	$95.50	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $199.53	Professional		$11.48	$14.79	$199.53
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 $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $61.66 / $117.49	Facility		$8.51	$61.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $165.96	Professional		$70.79	$97.72	$165.96