Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $156.06 / $278.82	Facility		$83.23	$156.06	$278.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $103.62	Professional		$83.23	$83.23	$103.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.03 / $292.50 / $1,025.95	Facility		$186.03	$292.50	$1,025.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $159.90 / $200.00	Professional		$120.00	$159.90	$200.00
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 $84.68 / $87.03 / $91.03	Professional		$84.68	$87.03	$91.03
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $93.64	Professional		$86.70	$86.70	$93.64