Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.35 / $136.34 / $136.34	Facility		$88.35	$136.34	$136.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $88.28 / $117.21	Professional		$78.39	$88.28	$117.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.29 / $914.39 / $2,127.14	Facility		$215.29	$914.39	$2,127.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $226.07 / $432.55	Facility		$96.70	$226.07	$432.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $120.10 / $195.17	Professional		$87.48	$120.10	$195.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $127.37 / $314.66	Professional		$86.75	$127.37	$314.66
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 $100.75 / $105.30 / $112.24	Professional		$100.75	$105.30	$112.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $126.92	Professional		$32.34	$32.34	$126.92
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $112.90 / $178.82	Professional		$79.90	$112.90	$178.82