Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $99.10 / $291.52	Facility		$82.86	$99.10	$291.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $91.15	Professional		$81.90	$81.90	$91.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.92 / $309.25 / $1,474.85	Facility		$202.92	$309.25	$1,474.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $100.45 / $100.45	Professional		$88.94	$100.45	$100.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Facility		$81.90	$81.90	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $102.01	Professional		$81.90	$81.90	$102.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $118.76 / $225.40	Professional		$81.90	$118.76	$225.40
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 $106.47 / $106.47 / $106.47	Professional		$106.47	$106.47	$106.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $115.92	Professional		$30.00	$30.00	$115.92
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $86.81 / $93.95	Professional		$81.90	$86.81	$93.95