Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.64 / $74.64 / $74.64	Facility		$74.64	$74.64	$74.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $76.20 / $137.85	Professional		$65.00	$76.20	$137.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.67 / $303.97 / $1,297.61	Facility		$179.67	$303.97	$1,297.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $114.61 / $129.03	Professional		$114.61	$114.61	$129.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $171.83	Facility		$97.54	$97.54	$171.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $174.75	Professional		$71.20	$97.54	$174.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $180.96 / $216.99	Professional		$143.26	$180.96	$216.99
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 $196.04 / $196.04 / $196.04	Professional		$196.04	$196.04	$196.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $113.67 / $119.35	Professional		$79.56	$113.67	$119.35
United Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $75.23 / $129.15	Professional		$60.52	$75.23	$129.15