Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $81.91 / $81.91	Facility		$81.91	$81.91	$81.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $81.91 / $107.73	Professional		$64.01	$81.91	$107.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.58 / $439.20 / $1,371.23	Facility		$256.58	$439.20	$1,371.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $121.12 / $121.12	Professional		$102.72	$121.12	$121.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $174.44	Facility		$88.96	$88.96	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $184.88	Professional		$64.94	$88.96	$184.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $176.10 / $214.85	Professional		$139.72	$176.10	$214.85
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 $207.18 / $207.18 / $207.18	Professional		$207.18	$207.18	$207.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $89.97 / $134.95	Professional		$58.08	$89.97	$134.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $79.51 / $136.49	Professional		$59.19	$79.51	$136.49