Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Facility		$58.88	$58.88	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $117.49	Professional		$48.98	$60.26	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $794.33	Facility		$138.04	$223.87	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $87.10	Professional		$74.13	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Facility		$64.57	$64.57	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $125.89	Professional		$46.77	$46.77	$125.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $162.18	Professional		$93.33	$120.23	$162.18
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 $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $93.33	Professional		$66.07	$66.07	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $93.33 / $169.82	Facility		$43.65	$93.33	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $89.13	Professional		$42.66	$57.54	$89.13