Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $1,000.00	Facility		$75.86	$75.86	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $131.83	Professional		$61.66	$75.86	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $1,000.00	Facility		$177.83	$281.84	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $112.20	Professional		$93.33	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Facility		$81.28	$81.28	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $204.17	Professional		$123.03	$165.96	$204.17
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 $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $109.65	Professional		$77.62	$77.62	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $213.80	Facility		$54.95	$117.49	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $112.20	Professional		$54.95	$72.44	$112.20