Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $123.07 / $195.39	Facility		$74.86	$123.07	$195.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $75.97 / $91.77	Professional		$74.86	$75.97	$91.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.95 / $508.74 / $2,521.09	Facility		$332.95	$508.74	$2,521.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $87.40 / $239.20	Professional		$72.79	$87.40	$239.20
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 $98.76 / $98.76 / $98.76	Professional		$98.76	$98.76	$98.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $73.95	Professional		$71.95	$71.95	$73.95
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $170.93	Facility		$75.97	$75.97	$170.93
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $106.13	Professional		$75.97	$75.97	$106.13