Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $120.23	Facility		$60.26	$60.26	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $117.49	Professional		$56.23	$64.57	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $812.83	Facility		$141.25	$229.09	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $89.13	Professional		$77.62	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $128.82	Professional		$54.95	$54.95	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $263.03	Professional		$100.00	$199.53	$263.03
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 $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Professional		$47.86	$47.86	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $190.55	Facility		$48.98	$93.33	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $97.72	Professional		$45.71	$58.88	$97.72