Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Facility		$62.14	$62.14	$62.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $62.14 / $89.81	Professional		$46.27	$62.14	$89.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $244.79 / $1,040.16	Facility		$144.69	$244.79	$1,040.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $91.88 / $91.88	Professional		$77.92	$91.88	$91.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.68 / $71.68 / $103.18	Facility		$71.68	$71.68	$103.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.68 / $140.25	Professional		$52.33	$71.68	$140.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $114.05 / $149.90	Professional		$88.44	$114.05	$149.90
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 $157.16 / $157.16 / $157.16	Professional		$157.16	$157.16	$157.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $91.12 / $95.67	Professional		$63.78	$91.12	$95.67
United Facility/Professional Facility Modifier Low / Median / High Price $120.89 / $150.08 / $278.91	Facility		$120.89	$150.08	$278.91
United Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $57.39 / $103.54	Professional		$39.00	$57.39	$103.54