Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $88.02 / $148.57	Facility		$73.55	$88.02	$148.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.94 / $81.33	Professional		$73.55	$73.94	$81.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $280.26 / $1,155.55	Facility		$121.96	$280.26	$1,155.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $87.81 / $87.81	Professional		$77.75	$87.81	$87.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Facility		$73.94	$73.94	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $83.83	Professional		$73.94	$73.94	$83.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $99.89 / $171.25	Professional		$71.68	$99.89	$171.25
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 $96.12 / $96.12 / $96.12	Professional		$96.12	$96.12	$96.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $98.53 / $105.57	Professional		$70.38	$98.53	$105.57
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $84.02	Professional		$73.94	$78.38	$84.02