Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $140.83 / $422.30	Facility		$90.51	$140.83	$422.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $98.16 / $137.41	Professional		$83.00	$98.16	$137.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $101.26 / $101.26	Professional		$101.26	$101.26	$101.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $127.61 / $200.00	Professional		$76.89	$127.61	$200.00
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 $127.61 / $127.61 / $127.61	Professional		$127.61	$127.61	$127.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $57.40 / $87.66	Professional		$57.40	$57.40	$87.66
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $101.75 / $105.91	Professional		$86.23	$101.75	$105.91