Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.75 / $223.73 / $375.12	Facility		$117.75	$223.73	$375.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $117.75 / $223.73	Professional		$103.90	$117.75	$223.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $765.12 / $1,665.04	Facility		$456.40	$765.12	$1,665.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $311.36 / $937.32	Facility		$212.14	$311.36	$937.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $195.07 / $380.29	Professional		$109.54	$195.07	$380.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $200.00 / $733.70	Professional		$125.04	$200.00	$733.70
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 $146.47 / $149.63 / $162.55	Professional		$146.47	$149.63	$162.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.40 / $170.05	Professional		$32.34	$32.40	$170.05
United Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $205.93 / $329.59	Professional		$129.56	$205.93	$329.59