Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $147.91	Facility		$70.79	$70.79	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $141.25	Professional		$61.66	$75.86	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $281.84 / $1,000.00	Facility		$173.78	$281.84	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $162.18	Facility		$89.13	$89.13	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $165.96	Professional		$66.07	$66.07	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $213.80	Professional		$125.89	$177.83	$213.80
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 $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $109.65	Professional		$75.86	$75.86	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $234.42	Facility		$95.50	$114.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $120.23	Professional		$60.26	$72.44	$120.23