Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $66.07 / $70.79	Facility		$61.66	$66.07	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $83.18	Professional		$52.48	$67.61	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $1,737.80	Facility		$151.36	$426.58	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $75.86	Professional		$61.66	$61.66	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $190.55	Professional		$61.66	$123.03	$190.55
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 $83.18 / $85.11 / $91.20	Professional		$83.18	$85.11	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $104.71	Professional		$30.20	$30.20	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $100.00	Facility		$66.07	$66.07	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $131.83	Professional		$63.10	$83.18	$131.83