Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $91.90 / $166.57	Facility		$63.38	$91.90	$166.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $79.86 / $83.06	Professional		$63.38	$79.86	$83.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.52 / $368.26 / $1,725.54	Facility		$203.52	$368.26	$1,725.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $118.64 / $133.97	Professional		$102.00	$118.64	$133.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Facility		$79.86	$79.86	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $135.29	Professional		$79.86	$79.86	$135.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $158.63 / $395.42	Professional		$79.86	$158.63	$395.42
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 $103.82 / $103.82 / $103.82	Professional		$103.82	$103.82	$103.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $88.45 / $94.77	Professional		$63.18	$88.45	$94.77
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $95.03	Professional		$79.86	$84.65	$95.03