Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $79.86 / $131.83	Facility		$65.26	$79.86	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $66.00 / $78.95	Professional		$65.26	$66.00	$78.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.90 / $259.26 / $1,111.03	Facility		$106.90	$259.26	$1,111.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $83.39 / $84.00	Professional		$73.84	$83.39	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Facility		$66.00	$66.00	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $83.13	Professional		$66.00	$66.00	$83.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $85.20 / $159.91	Professional		$59.49	$85.20	$159.91
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 $85.80 / $85.80 / $85.80	Professional		$85.80	$85.80	$85.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $91.39 / $97.92	Professional		$65.28	$91.39	$97.92
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $69.95 / $74.84	Professional		$66.00	$69.95	$74.84