Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $158.49	Facility		$79.43	$79.43	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $158.49	Professional		$70.79	$81.28	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $1,071.52	Facility		$190.55	$302.00	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $120.23	Professional		$104.71	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $104.71	Facility		$85.11	$85.11	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $158.49	Professional		$61.66	$61.66	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $218.78	Professional		$125.89	$158.49	$218.78
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 $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $117.49	Professional		$83.18	$83.18	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $223.87	Facility		$57.54	$125.89	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $117.49	Professional		$56.23	$77.62	$117.49