Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $75.84 / $94.72	Facility		$75.84	$75.84	$94.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $75.84 / $129.90	Professional		$59.28	$75.84	$129.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.52 / $731.13 / $1,545.45	Facility		$240.52	$731.13	$1,545.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $112.15 / $112.15	Professional		$112.15	$112.15	$112.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $161.52	Facility		$83.71	$83.71	$161.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $171.00	Professional		$61.11	$61.11	$171.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $178.08 / $213.60	Professional		$142.56	$178.08	$213.60
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 $191.83 / $191.83 / $191.83	Professional		$191.83	$191.83	$191.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.85 / $111.22 / $116.78	Professional		$77.85	$111.22	$116.78
United Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $65.33 / $147.56	Facility		$46.54	$65.33	$147.56
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $73.61 / $130.36	Professional		$54.94	$73.61	$130.36