Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $68.48 / $71.98	Facility		$63.00	$68.48	$71.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $71.98	Professional		$68.48	$68.48	$71.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $386.58 / $1,915.71	Facility		$253.00	$386.58	$1,915.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Professional		$68.48	$68.48	$68.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $95.89 / $165.95	Professional		$58.22	$95.89	$165.95
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 $89.04 / $89.04 / $89.04	Professional		$89.04	$89.04	$89.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $100.68	Professional		$30.00	$40.00	$100.68
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $72.67	Professional		$68.48	$68.48	$72.67