Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $139.16 / $139.16	Facility		$139.16	$139.16	$139.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $89.61 / $121.41	Professional		$79.88	$89.61	$121.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.64 / $293.76 / $504.70	Facility		$273.64	$293.76	$504.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $98.76 / $131.35	Professional		$96.65	$98.76	$131.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $125.12 / $202.20	Professional		$86.42	$125.12	$202.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $137.10 / $286.37	Professional		$97.00	$137.10	$286.37
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 $105.60 / $109.66 / $116.49	Professional		$105.60	$109.66	$116.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $131.72	Professional		$32.34	$32.34	$131.72
United Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $109.00 / $182.46	Professional		$83.00	$109.00	$182.46