Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $137.62 / $161.22	Facility		$131.56	$137.62	$161.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $84.29 / $121.37	Professional		$65.48	$84.29	$121.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.03 / $401.03 / $1,585.25	Facility		$401.03	$401.03	$1,585.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.32 / $134.99 / $162.81	Professional		$96.32	$134.99	$162.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $130.03 / $193.08	Professional		$87.86	$130.03	$193.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $140.13 / $323.36	Professional		$93.59	$140.13	$323.36
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 $101.78 / $105.79 / $135.91	Professional		$101.78	$105.79	$135.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $136.22 / $153.69	Professional		$40.00	$136.22	$153.69
United Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $129.71 / $200.77	Professional		$95.97	$129.71	$200.77