Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $150.41 / $756.80	Facility		$96.71	$150.41	$756.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $96.71 / $197.70	Professional		$83.89	$96.71	$197.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.78 / $340.00 / $1,104.34	Facility		$147.78	$340.00	$1,104.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $105.57 / $220.36	Professional		$37.25	$105.57	$220.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.15 / $198.35 / $312.66	Facility		$119.15	$198.35	$312.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $133.97 / $199.64	Professional		$86.40	$133.97	$199.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $156.38 / $541.50	Professional		$107.09	$156.38	$541.50
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 $116.99 / $119.59 / $129.03	Professional		$116.99	$119.59	$129.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.47 / $134.97	Professional		$32.34	$40.47	$134.97
United Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $123.29 / $189.37	Professional		$95.98	$123.29	$189.37