Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $65.25 / $1,338.75	Facility		$65.25	$65.25	$1,338.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $65.25 / $108.16	Professional		$57.46	$65.25	$108.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $266.31 / $1,134.43	Facility		$157.41	$266.31	$1,134.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $100.20 / $100.20	Professional		$97.85	$100.20	$100.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $144.29	Facility		$104.66	$104.66	$144.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $153.00	Professional		$88.96	$104.66	$153.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $336.37 / $409.50	Professional		$120.00	$336.37	$409.50
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 $171.39 / $171.39 / $171.39	Professional		$171.39	$171.39	$171.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $80.56 / $84.58	Professional		$56.39	$80.56	$84.58
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $65.78 / $116.47	Professional		$50.20	$65.78	$116.47