Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $81.84 / $129.06	Professional		$71.19	$81.84	$129.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.85 / $309.35 / $1,321.10	Facility		$182.85	$309.35	$1,321.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $116.69 / $116.69	Professional		$116.69	$116.69	$116.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $168.89	Facility		$99.32	$99.32	$168.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $178.13	Professional		$72.50	$99.32	$178.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $180.92 / $216.33	Professional		$148.91	$180.92	$216.33
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 $199.60 / $199.60 / $199.60	Professional		$199.60	$199.60	$199.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $115.73 / $121.51	Professional		$81.01	$115.73	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $76.59 / $135.63	Professional		$69.16	$76.59	$135.63