Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $203.02 / $203.02	Facility		$130.19	$203.02	$203.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $120.74 / $173.40	Professional		$102.42	$120.74	$173.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $315.00 / $1,096.83	Facility		$201.60	$315.00	$1,096.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $132.05 / $200.38	Professional		$71.54	$132.05	$200.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $208.24 / $432.55	Facility		$144.69	$208.24	$432.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $175.07 / $254.90	Professional		$90.57	$175.07	$254.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $185.18 / $411.88	Professional		$128.09	$185.18	$411.88
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 $154.79 / $157.47 / $168.58	Professional		$154.79	$157.47	$168.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.10 / $166.70	Professional		$32.34	$44.10	$166.70
United Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $151.16 / $266.13	Professional		$102.28	$151.16	$266.13