Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Facility		$61.52	$61.52	$61.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $61.52 / $95.76	Professional		$51.89	$61.52	$95.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $242.10 / $1,029.95	Facility		$143.10	$242.10	$1,029.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $84.33 / $151.86	Facility		$80.34	$84.33	$151.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $84.33 / $138.75	Professional		$61.56	$84.33	$138.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $142.10 / $173.57	Professional		$109.28	$142.10	$173.57
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 $155.61 / $155.61 / $155.61	Professional		$155.61	$155.61	$155.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $90.22 / $94.73	Professional		$63.15	$90.22	$94.73
United Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $59.71 / $105.73	Professional		$45.57	$59.71	$105.73