Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $132.57 / $212.01	Facility		$66.15	$132.57	$212.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $66.15 / $121.55	Professional		$57.72	$66.15	$121.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.52 / $716.04 / $1,864.37	Facility		$98.52	$716.04	$1,864.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $192.39 / $575.84	Facility		$130.49	$192.39	$575.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $98.13 / $153.32	Professional		$54.68	$98.13	$153.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $101.76 / $417.67	Professional		$67.20	$101.76	$417.67
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 $81.84 / $83.14 / $91.87	Professional		$81.84	$83.14	$91.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $32.34 / $96.11	Professional		$10.47	$32.34	$96.11
United Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $93.37 / $137.21	Professional		$63.38	$93.37	$137.21