Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Facility		$64.57	$64.57	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $114.82	Professional		$53.70	$66.07	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $1,258.93	Facility		$154.88	$208.93	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $97.72	Professional		$81.28	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Facility		$70.79	$70.79	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $138.04	Professional		$51.29	$51.29	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $177.83	Professional		$107.15	$141.25	$177.83
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 $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $95.50	Professional		$67.61	$67.61	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $102.33 / $186.21	Facility		$47.86	$102.33	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $97.72	Professional		$46.77	$63.10	$97.72