Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $213.80	Facility		$83.18	$165.96	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $181.97	Professional		$83.18	$85.11	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $977.24	Facility		$181.97	$309.03	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $213.80	Professional		$120.23	$158.49	$213.80
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $91.20	Professional		$85.11	$87.10	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $169.82	Facility		$125.89	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Professional		$87.10	$87.10	$91.20