Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $54.11 / $84.22	Professional		$44.25	$54.11	$84.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $212.51 / $905.74	Facility		$125.61	$212.51	$905.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $80.01 / $80.01	Professional		$62.20	$80.01	$80.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $73.27 / $106.91	Facility		$70.66	$73.27	$106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $121.88	Professional		$53.49	$73.27	$121.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.19 / $125.89 / $152.66	Professional		$97.19	$125.89	$152.66
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 $136.86 / $136.86 / $136.86	Professional		$136.86	$136.86	$136.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $79.34 / $83.31	Professional		$55.54	$79.34	$83.31
United Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $52.52 / $103.67	Professional		$40.08	$52.52	$103.67