Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $102.50 / $102.50	Facility		$102.50	$102.50	$102.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $102.50 / $171.92	Professional		$74.65	$102.50	$171.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.56 / $1,038.64 / $2,079.87	Facility		$485.56	$1,038.64	$2,079.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.89 / $12.89	Professional		$8.94	$12.89	$12.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $236.68	Facility		$120.30	$120.30	$236.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $196.50	Professional		$102.26	$120.30	$196.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $17.19 / $100.00	Professional		$14.61	$17.19	$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 $22.35 / $22.35 / $22.35	Professional		$22.35	$22.35	$22.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $97.40 / $102.27	Professional		$97.40	$97.40	$102.27
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $95.55 / $171.71	Professional		$84.98	$95.55	$171.71