Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $181.97	Facility		$50.12	$117.49	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Professional		$50.12	$50.12	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $295.12	Facility		$162.18	$208.93	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $58.88	Professional		$51.29	$51.29	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $125.89	Professional		$45.71	$67.61	$125.89
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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $89.13	Facility		$54.95	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $125.89	Professional		$81.28	$107.15	$125.89