Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $67.12 / $185.26	Facility		$55.30	$67.12	$185.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $55.47 / $60.83	Professional		$55.30	$55.47	$60.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.79 / $284.47 / $893.80	Facility		$123.79	$284.47	$893.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $59.59 / $71.00	Professional		$59.59	$59.59	$71.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $63.72	Professional		$55.47	$55.47	$63.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $84.82 / $141.50	Professional		$55.47	$84.82	$141.50
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 $72.11 / $72.11 / $72.11	Professional		$72.11	$72.11	$72.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $76.13 / $81.56	Professional		$54.38	$76.13	$81.56
United Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $124.81	Facility		$55.47	$55.47	$124.81
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $58.66 / $62.13	Professional		$55.47	$58.66	$62.13