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 $46.77 / $61.66 / $100.00	Professional		$46.77	$61.66	$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 $74.13 / $91.20 / $91.20	Professional		$74.13	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Facility		$75.86	$75.86	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $123.03	Professional		$54.95	$54.95	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $154.88	Professional		$83.18	$114.82	$154.88
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 $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $97.72 / $169.82	Facility		$43.65	$97.72	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $89.13	Professional		$42.66	$60.26	$89.13