Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $67.06	Facility		$67.06	$67.06	$67.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $67.06 / $101.30	Professional		$53.44	$67.06	$101.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.82 / $263.62 / $1,122.69	Facility		$155.82	$263.62	$1,122.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $99.17 / $99.17	Professional		$75.18	$99.17	$99.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $121.91	Facility		$75.80	$75.80	$121.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $151.13	Professional		$55.33	$75.80	$151.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $143.22 / $174.82	Professional		$108.70	$143.22	$174.82
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 $169.64 / $169.64 / $169.64	Professional		$169.64	$169.64	$169.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $98.35 / $103.26	Professional		$68.84	$98.35	$103.26
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $63.07 / $115.27	Professional		$44.79	$63.07	$115.27