Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $194.98	Facility		$74.13	$123.03	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $100.00	Professional		$72.44	$74.13	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $281.84 / $831.76	Facility		$109.65	$281.84	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $87.10	Professional		$77.62	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $177.83	Professional		$74.13	$112.20	$177.83
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 $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $109.65	Professional		$75.86	$100.00	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $114.82	Facility		$74.13	$74.13	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $83.18	Professional		$74.13	$75.86	$83.18