Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $107.15	Facility		$64.57	$64.57	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $109.65	Professional		$63.10	$72.44	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $1,258.93	Facility		$194.98	$263.03	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $79.43	Professional		$69.18	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Facility		$128.82	$128.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $138.04	Professional		$93.33	$93.33	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $213.80	Professional		$104.71	$162.18	$213.80
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $125.89	Professional		$89.13	$89.13	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $234.42	Facility		$75.86	$83.18	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $151.36	Professional		$64.57	$97.72	$151.36