Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $71.23 / $138.60	Facility		$71.23	$71.23	$138.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $72.56 / $110.88	Professional		$66.27	$72.56	$110.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $279.76 / $1,192.54	Facility		$165.36	$279.76	$1,192.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $105.34 / $105.34	Professional		$92.04	$105.34	$105.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $152.46	Facility		$89.65	$89.65	$152.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $160.50	Professional		$65.44	$89.65	$160.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $180.18 / $225.44	Professional		$128.88	$180.18	$225.44
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 $180.18 / $180.18 / $180.18	Professional		$180.18	$180.18	$180.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $104.46 / $109.68	Professional		$73.12	$104.46	$109.68
United Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $69.14 / $118.70	Professional		$57.28	$69.14	$118.70