Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.91 / $110.91 / $180.15	Facility		$110.91	$110.91	$180.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $107.82 / $144.12	Professional		$96.31	$107.82	$144.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $945.49 / $2,199.51	Facility		$51.30	$945.49	$2,199.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $165.99 / $178.90	Professional		$120.17	$165.99	$178.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $151.47 / $239.67	Professional		$110.31	$151.47	$239.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $162.54 / $539.16	Professional		$108.36	$162.54	$539.16
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 $126.13 / $131.29 / $140.87	Professional		$126.13	$131.29	$140.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.29	Professional		$32.34	$32.34	$159.29
United Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $163.27 / $250.04	Professional		$106.00	$163.27	$250.04