Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.68 / $175.48 / $279.27	Facility		$109.68	$175.48	$279.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $90.95 / $96.30	Professional		$70.34	$90.95	$96.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.19 / $149.80 / $189.39	Facility		$125.19	$149.80	$189.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.26 / $255.94 / $492.88	Facility		$120.26	$255.94	$492.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $130.46 / $156.30	Professional		$128.40	$130.46	$156.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $149.80 / $240.75	Professional		$109.14	$149.80	$240.75
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 $139.10 / $139.10 / $139.10	Professional		$139.10	$139.10	$139.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $145.52 / $160.50	Professional		$145.52	$145.52	$160.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $64.20 / $107.00	Professional		$44.94	$64.20	$107.00