Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $193.15 / $315.08	Facility		$98.99	$193.15	$315.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $98.99 / $102.61	Professional		$92.95	$98.99	$102.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $34.19 / $66.25	Facility		$18.76	$34.19	$66.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $298.20 / $555.41	Facility		$130.72	$298.20	$555.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $129.16 / $166.88	Professional		$63.47	$129.16	$166.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $193.15 / $506.45	Professional		$120.72	$193.15	$506.45
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 $156.94 / $156.94 / $156.94	Professional		$156.94	$156.94	$156.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $82.81 / $150.90	Professional		$60.36	$82.81	$150.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $90.54 / $163.16	Professional		$50.70	$90.54	$163.16