Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $130.91 / $226.91	Facility		$86.94	$130.91	$226.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $87.28 / $105.37	Professional		$86.94	$87.28	$105.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.62 / $318.77 / $1,579.70	Facility		$208.62	$318.77	$1,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Facility		$87.28	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $91.64 / $166.27	Professional		$74.19	$91.64	$166.27
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 $113.46 / $113.46 / $113.46	Professional		$113.46	$113.46	$113.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $86.63 / $89.04	Professional		$86.63	$86.63	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $95.35	Professional		$87.28	$87.28	$95.35