Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $136.12 / $194.22	Facility		$68.06	$136.12	$194.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $68.06 / $105.49	Professional		$63.91	$68.06	$105.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $351.50 / $1,097.97	Facility		$112.05	$351.50	$1,097.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $57.27 / $63.91	Professional		$3.50	$57.27	$63.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.11 / $184.37 / $382.69	Facility		$105.11	$184.37	$382.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $101.13 / $140.32	Professional		$40.53	$101.13	$140.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $145.25 / $503.78	Professional		$91.30	$145.25	$503.78
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 $107.90 / $107.90 / $107.90	Professional		$107.90	$107.90	$107.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $112.88 / $124.50	Professional		$112.88	$112.88	$124.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.80 / $83.04	Professional		$34.86	$49.80	$83.04