Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $112.13 / $187.03	Facility		$71.66	$112.13	$187.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $69.31 / $86.86	Professional		$66.64	$69.31	$86.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $219.76 / $982.21	Facility		$89.60	$219.76	$982.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $72.53 / $126.95	Professional		$56.64	$72.53	$126.95
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 $86.63 / $86.63 / $86.63	Professional		$86.63	$86.63	$86.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $68.40 / $81.79	Professional		$66.55	$68.40	$81.79
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $149.94	Facility		$66.64	$66.64	$149.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $83.30	Professional		$66.64	$74.64	$83.30