Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $208.93	Facility		$56.23	$93.33	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $281.84 / $831.76	Facility		$85.11	$281.84	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $67.61	Professional		$60.26	$60.26	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $151.36	Professional		$54.95	$107.15	$151.36
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 $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $83.18	Professional		$70.79	$75.86	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $89.13	Facility		$54.95	$54.95	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $63.10	Professional		$56.23	$57.54	$63.10