Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $66.29 / $109.88	Facility		$66.29	$66.29	$109.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $66.29 / $101.44	Professional		$55.43	$66.29	$101.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $260.93 / $1,109.66	Facility		$154.22	$260.93	$1,109.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $98.01 / $98.01	Professional		$78.08	$98.01	$98.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $177.62	Facility		$77.09	$77.09	$177.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $149.63	Professional		$56.28	$77.09	$149.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $145.86 / $186.29	Professional		$115.83	$145.86	$186.29
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 $167.65 / $167.65 / $167.65	Professional		$167.65	$167.65	$167.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $97.21 / $102.07	Professional		$68.04	$97.21	$102.07
United Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $64.34 / $110.46	Professional		$50.62	$64.34	$110.46