Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.53 / $94.53 / $94.53	Facility		$94.53	$94.53	$94.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $96.28 / $127.79	Professional		$83.69	$96.28	$127.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.42 / $371.22 / $1,582.43	Facility		$219.42	$371.22	$1,582.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $139.77 / $139.77	Professional		$118.54	$139.77	$139.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $202.18	Facility		$126.23	$126.23	$202.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $213.38	Professional		$92.15	$126.23	$213.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $211.47 / $257.47	Professional		$162.63	$211.47	$257.47
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 $239.08 / $239.08 / $239.08	Professional		$239.08	$239.08	$239.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $138.62 / $145.55	Professional		$97.03	$138.62	$145.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $91.75 / $157.51	Professional		$75.97	$91.75	$157.51