Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.89 / $62.89 / $62.89	Facility		$62.89	$62.89	$62.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $62.89 / $97.89	Professional		$55.46	$62.89	$97.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $247.48 / $1,052.72	Facility		$146.28	$247.48	$1,052.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $92.99 / $92.99	Professional		$81.25	$92.99	$92.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $136.32	Facility		$73.43	$73.43	$136.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.42 / $141.75	Professional		$53.60	$73.42	$141.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $146.83 / $180.51	Professional		$110.13	$146.83	$180.51
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 $159.07 / $159.07 / $159.07	Professional		$159.07	$159.07	$159.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $106.51 / $111.83	Professional		$74.55	$106.51	$111.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $61.04 / $108.09	Professional		$48.57	$61.04	$108.09