Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.91 / $54.91 / $54.91	Facility		$54.91	$54.91	$54.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $54.91 / $61.01	Professional		$40.02	$54.91	$61.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $215.20 / $919.12	Facility		$127.20	$215.20	$919.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $81.18 / $81.18	Professional		$64.16	$81.18	$81.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $97.74	Facility		$66.78	$66.78	$97.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $123.75	Professional		$48.75	$66.78	$123.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $117.50 / $149.55	Professional		$91.66	$117.50	$149.55
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 $138.87 / $138.87 / $138.87	Professional		$138.87	$138.87	$138.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.36 / $80.52 / $84.54	Professional		$56.36	$80.52	$84.54
United Facility/Professional Facility Modifier Low / Median / High Price $106.82 / $140.62 / $261.31	Facility		$106.82	$140.62	$261.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $52.84 / $91.48	Professional		$36.33	$52.84	$91.48