Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $104.67 / $207.90	Facility		$73.58	$104.67	$207.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $113.38 / $172.50	Professional		$93.87	$113.38	$172.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $408.81 / $1,418.34	Facility		$184.00	$408.81	$1,418.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $119.61 / $119.61	Professional		$119.61	$119.61	$119.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $23.86 / $205.05	Professional		$14.82	$23.86	$205.05
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 $17.51 / $17.64 / $19.27	Professional		$17.51	$17.64	$19.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $87.03	Professional		$17.54	$17.54	$87.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $121.23 / $123.29	Professional		$102.74	$121.23	$123.29