Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $135.47 / $226.93	Facility		$67.73	$135.47	$226.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $71.98	Professional		$67.73	$67.73	$71.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $174.26 / $835.06	Facility		$70.40	$174.26	$835.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Facility		$60.25	$60.25	$60.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $120.00 / $345.40	Professional		$93.37	$120.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $76.20	Professional		$70.56	$70.56	$76.20