Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.78 / $157.66 / $334.06	Facility		$96.78	$157.66	$334.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $88.62 / $157.66	Professional		$72.70	$88.62	$157.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $205.58 / $791.67	Facility		$124.03	$205.58	$791.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $72.70 / $72.70	Professional		$65.14	$72.70	$72.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.57 / $257.92 / $772.99	Facility		$123.57	$257.92	$772.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $79.19 / $158.93	Professional		$77.48	$79.19	$158.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $160.50 / $387.74	Professional		$103.85	$160.50	$387.74
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 $122.73 / $122.73 / $122.73	Professional		$122.73	$122.73	$122.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $64.22 / $138.78	Professional		$32.10	$64.22	$138.78
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $56.65 / $97.24	Professional		$39.65	$56.65	$97.24