Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $66.73 / $66.73	Facility		$66.73	$66.73	$66.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $66.73 / $100.66	Professional		$44.34	$66.73	$100.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.82 / $263.62 / $1,117.17	Facility		$155.82	$263.62	$1,117.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $98.68 / $98.68	Professional		$79.23	$98.68	$98.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $107.12	Facility		$83.99	$83.99	$107.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $83.99 / $150.38	Professional		$61.31	$83.99	$150.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $129.84 / $168.79	Professional		$99.57	$129.84	$168.79
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 $168.79 / $168.79 / $168.79	Professional		$168.79	$168.79	$168.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $97.86 / $102.75	Professional		$68.50	$97.86	$102.75
United Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $62.75 / $114.64	Professional		$44.92	$62.75	$114.64