Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $70.77 / $70.77	Facility		$70.77	$70.77	$70.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $70.77 / $93.13	Professional		$46.08	$70.77	$93.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $277.07 / $1,184.68	Facility		$163.77	$277.07	$1,184.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $104.64 / $104.64	Professional		$83.36	$104.64	$104.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $136.28	Facility		$64.52	$64.52	$136.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $159.75	Professional		$47.10	$64.52	$159.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $137.68 / $178.98	Professional		$102.40	$137.68	$178.98
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 $178.98 / $178.98 / $178.98	Professional		$178.98	$178.98	$178.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $103.78 / $108.96	Professional		$72.64	$103.78	$108.96
United Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $66.55 / $114.48	Professional		$42.93	$66.55	$114.48