Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $102.33	Facility		$50.12	$50.12	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $102.33	Professional		$46.77	$53.70	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $691.83	Facility		$120.23	$194.98	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $77.62	Professional		$75.86	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $151.36	Facility		$66.07	$66.07	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $117.49	Professional		$47.86	$47.86	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $154.88	Professional		$91.20	$120.23	$154.88
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 $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $81.28 / $165.96	Facility		$67.61	$81.28	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $87.10	Professional		$41.69	$50.12	$87.10