Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $123.03	Facility		$61.66	$61.66	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $117.49	Professional		$51.29	$61.66	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $831.76	Facility		$144.54	$234.42	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $138.04	Professional		$61.66	$61.66	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $173.78	Professional		$102.33	$138.04	$173.78
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 $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $91.20	Professional		$63.10	$63.10	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $186.21	Facility		$47.86	$95.50	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $97.72	Professional		$45.71	$60.26	$97.72