Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $68.39 / $141.47	Facility		$51.30	$68.39	$141.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $75.59 / $109.85	Professional		$51.30	$75.59	$109.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.93 / $395.18 / $1,442.62	Facility		$181.93	$395.18	$1,442.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $106.97 / $107.61	Professional		$91.58	$106.97	$107.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $115.50 / $166.34	Professional		$65.63	$115.50	$166.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $115.34 / $205.95	Professional		$82.50	$115.34	$205.95
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 $96.14 / $99.96 / $107.25	Professional		$96.14	$99.96	$107.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.60	Professional		$32.34	$32.34	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $103.07 / $202.15	Professional		$77.63	$103.07	$202.15