Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.56 / $180.78 / $180.78	Facility		$113.56	$180.78	$180.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $106.64 / $141.62	Professional		$94.92	$106.64	$141.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.89 / $538.44 / $2,092.21	Facility		$239.89	$538.44	$2,092.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $166.88 / $180.75	Professional		$120.82	$166.88	$180.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Facility		$122.50	$122.50	$122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $152.51 / $248.99	Professional		$110.20	$152.51	$248.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $163.25 / $403.33	Professional		$107.66	$163.25	$403.33
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 $127.23 / $132.63 / $141.62	Professional		$127.23	$132.63	$141.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $160.13	Professional		$32.34	$32.34	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $148.88 / $245.55	Professional		$105.97	$148.88	$245.55