Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $127.98 / $206.19	Facility		$79.00	$127.98	$206.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $64.78 / $75.05	Professional		$51.94	$64.78	$75.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $110.60 / $139.83	Facility		$92.43	$110.60	$139.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.63 / $188.97 / $363.33	Facility		$88.63	$188.97	$363.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $87.45 / $104.78	Professional		$83.33	$87.45	$104.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $110.60 / $201.13	Professional		$82.95	$110.60	$201.13
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 $102.70 / $102.70 / $102.70	Professional		$102.70	$102.70	$102.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $107.44 / $118.50	Professional		$107.44	$107.44	$118.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $47.40 / $79.00	Professional		$33.18	$47.40	$79.00