Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $352.28	Facility		$76.09	$76.09	$352.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $83.70	Professional		$76.09	$76.09	$83.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Professional		$97.75	$97.75	$97.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $100.49	Professional		$76.09	$76.09	$100.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $106.53 / $311.16	Professional		$67.91	$106.53	$311.16
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 $98.92 / $98.92 / $98.92	Professional		$98.92	$98.92	$98.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $126.93	Professional		$30.00	$40.00	$126.93
United Facility/Professional Facility Modifier Low / Median / High Price $105.35 / $142.47 / $142.47	Facility		$105.35	$142.47	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $83.42	Professional		$76.09	$76.09	$83.42