Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.24 / $59.24 / $59.24	Facility		$59.24	$59.24	$59.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $59.24 / $77.95	Professional		$37.61	$59.24	$77.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $234.03 / $991.67	Facility		$138.33	$234.03	$991.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $87.60 / $87.60	Professional		$58.53	$87.60	$87.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $97.90	Facility		$54.02	$54.02	$97.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $133.50	Professional		$39.43	$39.43	$133.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $120.92 / $149.84	Professional		$92.21	$120.92	$149.84
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 $149.84 / $149.84 / $149.84	Professional		$149.84	$149.84	$149.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $86.88 / $91.22	Professional		$60.81	$86.88	$91.22
United Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $138.31 / $257.02	Facility		$115.26	$138.31	$257.02
United Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $55.70 / $98.70	Professional		$35.94	$55.70	$98.70