Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $134.40	Facility		$108.80	$119.61	$134.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Professional		$108.80	$119.61	$119.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.80 / $282.55 / $1,426.23	Facility		$100.80	$282.55	$1,426.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Professional		$32.32	$32.32	$32.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $23.30 / $187.38	Professional		$14.82	$23.30	$187.38
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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $138.38 / $144.26	Professional		$117.28	$138.38	$144.26