Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $97.57 / $213.79	Facility		$81.91	$97.57	$213.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $82.08 / $90.10	Professional		$81.91	$82.08	$90.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $264.07 / $1,259.35	Facility		$173.27	$264.07	$1,259.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $84.83 / $105.00	Professional		$84.83	$84.83	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $82.07 / $82.07	Facility		$78.98	$82.07	$82.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $92.92	Professional		$82.07	$82.07	$92.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $123.12 / $228.03	Professional		$82.08	$123.12	$228.03
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 $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $76.53 / $112.50	Professional		$74.45	$76.53	$112.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $86.80 / $93.27	Professional		$82.08	$86.80	$93.27