Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $76.20 / $76.20	Facility		$76.20	$76.20	$76.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $76.20 / $111.46	Professional		$65.66	$76.20	$111.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.49 / $298.58 / $1,275.55	Facility		$176.49	$298.58	$1,275.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $112.67 / $112.67	Professional		$98.45	$112.67	$112.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $104.21 / $151.00	Facility		$99.52	$104.21	$151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $173.47	Professional		$76.06	$76.06	$173.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $140.96 / $183.83	Professional		$107.77	$140.96	$183.83
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 $192.73 / $192.73 / $192.73	Professional		$192.73	$192.73	$192.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.21 / $111.74 / $117.32	Professional		$78.21	$111.74	$117.32
United Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $73.95 / $129.87	Professional		$52.92	$73.95	$129.87