Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $81.48 / $96.58	Professional		$65.39	$81.48	$96.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.03 / $314.73 / $1,339.29	Facility		$186.03	$314.73	$1,339.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $118.29 / $121.84	Professional		$103.36	$118.29	$121.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $169.10	Facility		$86.21	$86.21	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $180.38	Professional		$62.93	$86.21	$180.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $155.65 / $200.00	Professional		$118.04	$155.65	$200.00
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 $202.35 / $202.35 / $202.35	Professional		$202.35	$202.35	$202.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $125.54 / $131.81	Professional		$87.87	$125.54	$131.81
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $77.65 / $133.30	Professional		$53.90	$77.65	$133.30