Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $116.93 / $250.30	Facility		$82.68	$116.93	$250.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $111.65 / $178.75	Professional		$90.00	$111.65	$178.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $344.42 / $1,331.74	Facility		$124.80	$344.42	$1,331.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $114.93 / $114.93	Professional		$114.93	$114.93	$114.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Facility		$106.62	$106.62	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $58.46 / $172.25	Professional		$36.68	$58.46	$172.25
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 $43.20 / $43.25 / $47.50	Professional		$43.20	$43.25	$47.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $95.56	Professional		$30.00	$30.00	$95.56
United Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $97.11	Facility		$97.11	$97.11	$97.11
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $113.99 / $115.92	Professional		$96.60	$113.99	$115.92