Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $62.32 / $62.32	Facility		$62.32	$62.32	$62.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $62.32 / $93.13	Professional		$50.19	$62.32	$93.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $244.79 / $1,043.21	Facility		$144.69	$244.79	$1,043.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $92.14 / $92.14	Professional		$74.00	$92.14	$92.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $114.71	Facility		$75.47	$75.47	$114.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $140.63	Professional		$55.09	$75.47	$140.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $115.40 / $150.34	Professional		$89.49	$115.40	$150.34
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 $157.61 / $157.61 / $157.61	Professional		$157.61	$157.61	$157.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $91.38 / $95.94	Professional		$63.96	$91.38	$95.94
United Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $60.10 / $103.83	Professional		$42.68	$60.10	$103.83