Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $74.34 / $644.10	Facility		$67.27	$74.34	$644.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $74.00	Professional		$67.27	$67.27	$74.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $330.60 / $1,443.12	Facility		$204.96	$330.60	$1,443.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $72.02 / $78.02	Professional		$72.02	$72.02	$78.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $85.00	Professional		$67.27	$67.27	$85.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $94.18 / $327.68	Professional		$60.04	$94.18	$327.68
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 $87.45 / $87.45 / $87.45	Professional		$87.45	$87.45	$87.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $93.52	Professional		$30.00	$40.00	$93.52
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $73.75	Professional		$67.27	$67.27	$73.75