Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $55.39 / $88.59	Facility		$55.39	$55.39	$88.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $55.39 / $79.41	Professional		$38.79	$55.39	$79.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.48 / $561.28 / $1,123.96	Facility		$257.48	$561.28	$1,123.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $66.44 / $66.44	Professional		$66.44	$66.44	$66.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $119.46	Facility		$65.00	$65.00	$119.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $107.63	Professional		$55.25	$55.25	$107.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $114.81 / $140.78	Professional		$83.61	$114.81	$140.78
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 $115.17 / $115.17 / $115.17	Professional		$115.17	$115.17	$115.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $59.24 / $88.86	Professional		$59.24	$59.24	$88.86
United Facility/Professional Facility Modifier Low / Median / High Price $88.59 / $88.59 / $88.59	Facility		$88.59	$88.59	$88.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $55.52 / $92.54	Professional		$36.92	$55.52	$92.54