Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $45.78 / $45.78	Facility		$45.78	$45.78	$45.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $49.30 / $84.23	Professional		$40.26	$49.30	$84.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.71 / $185.61 / $795.73	Facility		$109.71	$185.61	$795.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $70.29 / $70.29	Professional		$70.29	$70.29	$70.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $118.71	Facility		$59.82	$59.82	$118.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $59.82 / $107.25	Professional		$43.67	$59.82	$107.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $107.92 / $137.00	Professional		$89.00	$107.92	$137.00
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 $120.24 / $120.24 / $120.24	Professional		$120.24	$120.24	$120.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $69.70 / $73.19	Professional		$48.79	$69.70	$73.19
United Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $144.25 / $268.07	Facility		$92.49	$144.25	$268.07
United Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $46.91 / $96.13	Professional		$37.67	$46.91	$96.13