Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $55.13 / $55.13	Facility		$55.13	$55.13	$55.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $55.13 / $85.81	Professional		$43.09	$55.13	$85.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $217.89 / $922.99	Facility		$128.79	$217.89	$922.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $81.52 / $81.52	Professional		$69.14	$81.52	$81.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $117.43	Facility		$59.89	$59.89	$117.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $59.89 / $124.50	Professional		$43.72	$59.89	$124.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $144.66 / $179.06	Professional		$106.75	$144.66	$179.06
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 $139.44 / $139.44 / $139.44	Professional		$139.44	$139.44	$139.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $86.51 / $90.83	Professional		$60.55	$86.51	$90.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $53.26 / $94.75	Professional		$39.61	$53.26	$94.75