Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $123.03	Facility		$61.66	$61.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $120.23	Professional		$53.70	$63.10	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $1,202.26	Facility		$147.91	$199.53	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $91.20	Professional		$77.62	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Facility		$75.86	$75.86	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Professional		$54.95	$54.95	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $173.78	Professional		$102.33	$138.04	$173.78
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 $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $194.98	Facility		$51.29	$97.72	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $100.00	Professional		$46.77	$60.26	$100.00