Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $187.66 / $298.66	Facility		$117.29	$187.66	$298.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $93.83 / $98.41	Professional		$75.23	$93.83	$98.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $160.19 / $202.54	Facility		$133.88	$160.19	$202.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $283.95 / $527.13	Facility		$128.35	$283.95	$527.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $139.59 / $174.49	Professional		$125.87	$139.59	$174.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $154.47 / $211.70	Professional		$114.43	$154.47	$211.70
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 $148.76 / $148.76 / $148.76	Professional		$148.76	$148.76	$148.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $78.50 / $143.04	Professional		$57.22	$78.50	$143.04
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43