Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $66.18 / $66.18	Facility		$66.18	$66.18	$66.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $67.41 / $103.01	Professional		$62.35	$67.41	$103.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $260.93 / $1,107.90	Facility		$154.22	$260.93	$1,107.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $97.86 / $97.86	Professional		$85.50	$97.86	$97.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $141.63	Facility		$80.45	$80.45	$141.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $149.25	Professional		$58.73	$80.45	$149.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $128.76 / $161.50	Professional		$99.80	$128.76	$161.50
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 $167.39 / $167.39 / $167.39	Professional		$167.39	$167.39	$167.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $74.31 / $78.02	Professional		$52.01	$74.31	$78.02
United Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $64.23 / $110.60	Professional		$53.22	$64.23	$110.60