Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $66.64 / $154.84	Facility		$34.00	$66.64	$154.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $60.49 / $106.84	Professional		$47.16	$60.49	$106.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $236.72 / $1,003.06	Facility		$139.91	$236.72	$1,003.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $88.59 / $88.59	Professional		$61.47	$88.59	$88.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $110.77	Facility		$68.22	$68.22	$110.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $135.00	Professional		$49.80	$68.22	$135.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $117.76 / $171.98	Professional		$97.16	$117.76	$171.98
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 $151.54 / $151.54 / $151.54	Professional		$151.54	$151.54	$151.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $30.98 / $32.52	Professional		$21.68	$30.98	$32.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $58.16 / $99.85	Professional		$41.87	$58.16	$99.85