Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.64 / $69.64 / $91.64	Facility		$69.64	$69.64	$91.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $81.37 / $135.49	Professional		$61.69	$81.37	$135.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $274.38 / $1,165.78	Facility		$162.18	$274.38	$1,165.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $102.97 / $102.97	Professional		$80.05	$102.97	$102.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $149.04	Facility		$81.70	$86.88	$149.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $158.69	Professional		$63.42	$86.88	$158.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $161.55 / $208.60	Professional		$121.95	$161.55	$208.60
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 $176.14 / $176.14 / $176.14	Professional		$176.14	$176.14	$176.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $78.19 / $82.09	Professional		$54.73	$78.19	$82.09
United Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $67.59 / $116.38	Professional		$53.98	$67.59	$116.38