Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.11 / $165.80 / $165.80	Facility		$142.11	$165.80	$165.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $80.53 / $94.36	Professional		$78.63	$80.53	$94.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $511.59 / $1,627.63	Facility		$215.05	$511.59	$1,627.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.69 / $83.69 / $83.69	Facility		$83.69	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $86.85	Professional		$80.53	$83.69	$86.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $183.98 / $218.64	Professional		$137.31	$183.98	$218.64
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 $80.66 / $80.66 / $80.66	Professional		$80.66	$80.66	$80.66
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $94.74 / $103.87	Professional		$83.37	$94.74	$103.87