Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $140.13 / $281.95	Facility		$108.03	$140.13	$281.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $130.93	Professional		$95.90	$96.86	$130.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.23 / $3,627.55 / $9,698.06	Facility		$667.23	$3,627.55	$9,698.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.26 / $220.52 / $220.52	Professional		$195.26	$220.52	$220.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Facility		$95.90	$95.90	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $220.66	Professional		$95.90	$95.90	$220.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $345.40 / $1,541.80	Professional		$95.90	$345.40	$1,541.80
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 $124.67 / $124.67 / $124.67	Professional		$124.67	$124.67	$124.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.10 / $219.94 / $235.65	Professional		$157.10	$219.94	$235.65
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $101.94 / $166.15	Professional		$95.90	$101.94	$166.15