Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $123.03	Facility		$61.66	$61.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $100.00	Professional		$42.66	$60.26	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $831.76	Facility		$144.54	$234.42	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $91.20	Professional		$77.62	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $81.28	Facility		$72.44	$72.44	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $123.03	Professional		$52.48	$52.48	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $151.36	Professional		$81.28	$114.82	$151.36
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 $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $91.20	Professional		$63.10	$63.10	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $97.72 / $151.36	Facility		$39.81	$97.72	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $81.28	Professional		$39.81	$60.26	$81.28