Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $121.11 / $210.19	Facility		$100.30	$121.11	$210.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.30 / $111.19	Professional		$100.09	$100.30	$111.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.35 / $464.99 / $1,652.71	Facility		$202.35	$464.99	$1,652.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $107.70 / $127.00	Professional		$107.70	$107.70	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Facility		$100.09	$100.09	$100.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $125.64	Professional		$100.09	$100.09	$125.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $135.72 / $278.39	Professional		$100.00	$135.72	$278.39
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 $130.12 / $130.12 / $130.12	Professional		$130.12	$130.12	$130.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $136.00 / $145.71	Professional		$97.14	$136.00	$145.71
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $105.85 / $113.08	Professional		$100.09	$105.85	$113.08