Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $72.31 / $119.94	Facility		$72.31	$72.31	$119.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $73.66 / $119.94	Professional		$62.95	$73.66	$119.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.85 / $389.55 / $1,241.56	Facility		$227.85	$389.55	$1,241.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $91.15 / $91.15	Professional		$76.84	$91.15	$91.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $198.95	Facility		$133.72	$133.72	$198.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $113.03 / $160.50	Professional		$97.62	$113.03	$160.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $204.16 / $284.30	Professional		$119.94	$204.16	$284.30
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 $155.91 / $155.91 / $155.91	Professional		$155.91	$155.91	$155.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $119.66 / $125.64	Professional		$83.76	$119.66	$125.64
United Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $97.68 / $171.52	Professional		$78.00	$97.68	$171.52