Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.31 / $100.31 / $100.31	Facility		$100.31	$100.31	$100.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $100.31 / $166.77	Professional		$78.38	$100.31	$166.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.19 / $536.79 / $1,679.17	Facility		$314.19	$536.79	$1,679.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $148.31 / $148.31	Professional		$125.78	$148.31	$148.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $213.55	Facility		$112.22	$112.22	$213.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $228.39	Professional		$81.92	$81.92	$228.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $176.29 / $222.60 / $273.20	Professional		$176.29	$222.60	$273.20
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 $253.70 / $253.70 / $253.70	Professional		$253.70	$253.70	$253.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $135.76 / $142.54	Professional		$95.03	$135.76	$142.54
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $97.36 / $167.14	Professional		$72.48	$97.36	$167.14