Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $65.88 / $189.00	Facility		$60.48	$65.88	$189.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $69.18	Professional		$65.88	$65.88	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $577.58 / $2,862.21	Facility		$378.00	$577.58	$2,862.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $87.01	Professional		$65.88	$65.88	$87.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $72.47 / $159.63	Professional		$56.00	$72.47	$159.63
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 $85.64 / $85.64 / $85.64	Professional		$85.64	$85.64	$85.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $95.18	Professional		$30.00	$40.00	$95.18
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $72.23	Professional		$65.88	$65.88	$72.23