Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $65.34 / $101.72	Professional		$51.10	$65.34	$101.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.83 / $612.25 / $1,335.41	Facility		$167.83	$612.25	$1,335.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $96.63 / $96.63	Professional		$81.95	$96.63	$96.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $139.22	Facility		$70.98	$70.98	$139.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $147.38	Professional		$51.82	$70.98	$147.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $140.50 / $174.03	Professional		$108.21	$140.50	$174.03
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 $165.30 / $165.30 / $165.30	Professional		$165.30	$165.30	$165.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $95.84 / $100.63	Professional		$67.08	$95.84	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $63.43 / $111.38	Professional		$47.23	$63.43	$111.38