Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $125.89	Facility		$61.66	$61.66	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $125.89	Professional		$54.95	$64.57	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $851.14	Facility		$147.91	$239.88	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $93.33	Professional		$81.28	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $81.28	Facility		$74.13	$74.13	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $134.90	Professional		$53.70	$53.70	$134.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $181.97	Professional		$104.71	$144.54	$181.97
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 $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $107.15	Professional		$74.13	$74.13	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $97.72 / $190.55	Facility		$50.12	$97.72	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $100.00	Professional		$46.77	$61.66	$100.00