Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $102.38	Facility		$62.41	$62.41	$102.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $68.66	Professional		$62.41	$62.41	$68.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.30 / $373.29 / $1,849.83	Facility		$244.30	$373.29	$1,849.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $81.92	Professional		$62.41	$62.41	$81.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $87.37 / $174.88	Professional		$53.05	$87.37	$174.88
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 $81.13 / $81.13 / $81.13	Professional		$81.13	$81.13	$81.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $93.05	Professional		$30.00	$40.00	$93.05
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $70.52	Professional		$62.41	$62.41	$70.52