Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $144.54	Facility		$72.44	$72.44	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $114.82	Professional		$52.48	$72.44	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $275.42 / $977.24	Facility		$169.82	$275.42	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $107.15	Professional		$77.62	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Facility		$91.20	$91.20	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $144.54	Professional		$67.61	$67.61	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $199.53	Professional		$114.82	$144.54	$199.53
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 $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $107.15	Professional		$74.13	$74.13	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $112.20 / $186.21	Facility		$48.98	$112.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $100.00	Professional		$47.86	$70.79	$100.00