Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $71.73 / $71.73	Facility		$71.73	$71.73	$71.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $73.06 / $111.65	Professional		$62.99	$73.06	$111.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.95 / $282.45 / $1,200.76	Facility		$166.95	$282.45	$1,200.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $106.07 / $106.07	Professional		$92.68	$106.07	$106.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $153.52	Facility		$90.28	$90.28	$153.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $161.63	Professional		$65.90	$90.28	$161.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $141.86 / $190.13	Professional		$108.54	$141.86	$190.13
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 $181.43 / $181.43 / $181.43	Professional		$181.43	$181.43	$181.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $105.18 / $110.43	Professional		$73.62	$105.18	$110.43
United Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $69.62 / $119.52	Professional		$57.68	$69.62	$119.52