Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $202.56 / $285.77	Facility		$112.23	$202.56	$285.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $84.31 / $202.56	Professional		$54.75	$84.31	$202.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.81 / $473.28 / $1,448.44	Facility		$147.81	$473.28	$1,448.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $84.31 / $109.49	Professional		$4.50	$84.31	$109.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.32 / $261.91 / $503.31	Facility		$90.32	$261.91	$503.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $125.55 / $166.75	Professional		$55.92	$125.55	$166.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $164.24 / $438.61	Professional		$109.49	$164.24	$438.61
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 $142.34 / $142.34 / $142.34	Professional		$142.34	$142.34	$142.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $60.22 / $136.86	Professional		$36.54	$60.22	$136.86
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $63.00 / $115.04	Professional		$31.59	$63.00	$115.04