Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $66.03 / $66.03	Facility		$66.03	$66.03	$66.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $69.28 / $82.55	Professional		$56.59	$69.28	$82.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.93 / $429.37 / $1,697.25	Facility		$260.93	$429.37	$1,697.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $79.90	Professional		$61.30	$61.30	$79.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.51 / $84.19 / $181.95	Professional		$59.51	$84.19	$181.95
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 $83.36 / $85.84 / $91.01	Professional		$83.36	$85.84	$91.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $102.91	Professional		$30.00	$30.00	$102.91
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $85.57 / $144.76	Professional		$67.56	$85.57	$144.76