Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $240.00 / $391.50	Facility		$123.00	$240.00	$391.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $123.00 / $135.00	Professional		$112.50	$123.00	$135.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.50 / $210.00 / $265.50	Facility		$175.50	$210.00	$265.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.60 / $366.73 / $690.93	Facility		$206.60	$366.73	$690.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.16 / $180.00 / $199.07	Professional		$166.16	$180.00	$199.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $210.00 / $345.40	Professional		$153.00	$210.00	$345.40
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 $195.00 / $195.00 / $195.00	Professional		$195.00	$195.00	$195.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $204.00 / $220.50	Professional		$204.00	$204.00	$220.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $150.00	Professional		$63.00	$90.00	$150.00