Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.09 / $155.50 / $301.49	Facility		$82.09	$155.50	$301.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $82.09 / $94.19	Professional		$69.38	$82.09	$94.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.17 / $233.90 / $1,574.92	Facility		$127.17	$233.90	$1,574.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $209.12 / $340.87	Facility		$6.84	$209.12	$340.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $96.76 / $109.12	Professional		$35.57	$96.76	$109.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $50.41 / $246.26	Professional		$33.47	$50.41	$246.26
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 $42.28 / $43.52 / $46.76	Professional		$42.28	$43.52	$46.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.65 / $39.31 / $42.42	Professional		$19.65	$39.31	$42.42
United Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $45.04 / $89.25	Professional		$27.67	$45.04	$89.25