Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Facility		$91.00	$91.00	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $91.00 / $101.11	Professional		$68.70	$91.00	$101.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $357.77 / $1,523.26	Facility		$211.47	$357.77	$1,523.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $134.55 / $134.55	Professional		$117.57	$134.55	$134.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $168.77	Facility		$97.79	$97.79	$168.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $205.13	Professional		$71.39	$97.79	$205.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $177.04 / $219.53	Professional		$128.11	$177.04	$219.53
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 $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.41 / $133.44 / $140.12	Professional		$93.41	$133.44	$140.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $74.61 / $177.04	Facility		$50.98	$74.61	$177.04
United Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $88.33 / $151.63	Professional		$62.74	$88.33	$151.63