Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $100.53 / $156.44	Facility		$84.53	$100.53	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.57 / $102.28	Professional		$84.53	$84.57	$102.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.85 / $450.87 / $2,150.23	Facility		$295.85	$450.87	$2,150.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $127.21 / $143.66	Professional		$108.00	$127.21	$143.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Facility		$84.57	$84.57	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $98.61	Professional		$84.57	$84.57	$98.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $126.86 / $282.23	Professional		$84.57	$126.86	$282.23
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 $109.94 / $109.94 / $109.94	Professional		$109.94	$109.94	$109.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $164.68 / $176.45	Professional		$117.63	$164.68	$176.45
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.39 / $96.10	Professional		$84.57	$89.39	$96.10