Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $102.83 / $102.83	Facility		$102.83	$102.83	$102.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $102.83 / $152.41	Professional		$81.91	$102.83	$152.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.13 / $1,042.00 / $2,086.60	Facility		$487.13	$1,042.00	$2,086.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.43 / $11.43	Professional		$9.93	$11.43	$11.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $224.50	Facility		$123.50	$123.50	$224.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $179.25	Professional		$104.98	$123.50	$179.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $15.24 / $100.00	Professional		$12.95	$15.24	$100.00
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 $19.80 / $19.80 / $19.80	Professional		$19.80	$19.80	$19.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.07 / $134.07 / $140.77	Professional		$134.07	$134.07	$140.77
United Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $104.20 / $194.63	Professional		$76.86	$104.20	$194.63