Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $85.01 / $149.28	Professional		$73.58	$85.01	$149.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $322.80 / $1,372.28	Facility		$190.80	$322.80	$1,372.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $121.20 / $121.20	Professional		$121.20	$121.20	$121.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $210.39	Facility		$99.66	$99.66	$210.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $99.66 / $184.88	Professional		$72.75	$99.66	$184.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $211.02 / $258.33	Professional		$153.01	$211.02	$258.33
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 $207.32 / $207.32 / $207.32	Professional		$207.32	$207.32	$207.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $120.21 / $126.22	Professional		$84.14	$120.21	$126.22
United Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $79.56 / $140.88	Professional		$66.31	$79.56	$140.88