Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.65 / $185.44 / $329.49	Facility		$103.65	$185.44	$329.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $103.65 / $185.44	Professional		$91.85	$103.65	$185.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $566.11 / $1,289.93	Facility		$328.00	$566.11	$1,289.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.21 / $264.83 / $799.49	Facility		$174.21	$264.83	$799.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $164.75 / $272.44	Professional		$97.29	$164.75	$272.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $175.73 / $593.24	Professional		$111.20	$175.73	$593.24
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 $129.03 / $131.78 / $142.78	Professional		$129.03	$131.78	$142.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.40 / $149.37	Professional		$32.34	$32.40	$149.37
United Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $160.78 / $235.30	Professional		$114.78	$160.78	$235.30