Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $169.82	Facility		$64.57	$109.65	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $134.90	Professional		$64.57	$64.57	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $371.54 / $1,621.81	Facility		$199.53	$371.54	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $134.90	Professional		$117.49	$117.49	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $407.38	Professional		$79.43	$281.84	$407.38
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 $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $83.18	Professional		$66.07	$74.13	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $104.71	Facility		$64.57	$79.43	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $72.44	Professional		$64.57	$69.18	$72.44