Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $217.94 / $307.73	Facility		$112.02	$217.94	$307.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $91.86 / $95.22	Professional		$73.65	$91.86	$95.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.06 / $156.82 / $198.27	Facility		$131.06	$156.82	$198.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $112.02	Professional		$112.02	$112.02	$112.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $407.62 / $515.22	Facility		$154.28	$407.62	$515.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.22 / $136.69 / $170.88	Professional		$123.22	$136.69	$170.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $151.22 / $207.24	Professional		$112.02	$151.22	$207.24
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $140.03	Professional		$30.00	$30.00	$140.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $67.20 / $112.02	Professional		$47.05	$67.20	$112.02