Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.01 / $100.01 / $100.01	Facility		$100.01	$100.01	$100.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $100.01 / $155.66	Professional		$78.17	$100.01	$155.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.27 / $534.36 / $1,674.24	Facility		$313.27	$534.36	$1,674.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.42 / $147.88 / $147.88	Professional		$125.42	$147.88	$147.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $213.00	Facility		$129.63	$129.63	$213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $225.75	Professional		$94.64	$94.64	$225.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $215.02 / $272.43	Professional		$173.74	$215.02	$272.43
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 $252.97 / $252.97 / $252.97	Professional		$252.97	$252.97	$252.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $109.85 / $164.78	Professional		$107.24	$109.85	$164.78
United Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $97.08 / $171.91	Professional		$78.75	$97.08	$171.91