Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.10 / $82.10 / $82.10	Facility		$82.10	$82.10	$82.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $82.10 / $99.84	Professional		$60.08	$82.10	$99.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $322.80 / $1,374.40	Facility		$190.80	$322.80	$1,374.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $121.39 / $121.39	Professional		$106.07	$121.39	$121.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $146.26	Facility		$103.32	$103.32	$146.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $185.25	Professional		$75.42	$103.32	$185.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $175.70 / $209.59	Professional		$135.77	$175.70	$209.59
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 $207.65 / $207.65 / $207.65	Professional		$207.65	$207.65	$207.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.28 / $120.40 / $126.42	Professional		$84.28	$120.40	$126.42
United Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $77.20 / $136.79	Professional		$54.53	$77.20	$136.79