Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $96.56 / $198.28	Facility		$51.59	$96.56	$198.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $98.16 / $146.75	Professional		$66.78	$98.16	$146.75
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 $87.15 / $127.61 / $185.01	Professional		$87.15	$127.61	$185.01
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 $56.03 / $56.03 / $87.66	Professional		$56.03	$56.03	$87.66
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $101.75 / $105.91	Professional		$86.23	$101.75	$105.91