Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $96.79 / $96.79	Facility		$96.79	$96.79	$96.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $98.58 / $150.65	Professional		$72.62	$98.58	$150.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.78 / $381.98 / $1,620.23	Facility		$225.78	$381.98	$1,620.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $143.12 / $143.12	Professional		$125.05	$143.12	$143.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $215.83	Facility		$121.82	$121.82	$215.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.82 / $218.25	Professional		$88.93	$121.82	$218.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $222.20 / $267.00	Professional		$169.48	$222.20	$267.00
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 $244.80 / $244.80 / $244.80	Professional		$244.80	$244.80	$244.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.07 / $108.68 / $114.11	Professional		$76.07	$108.68	$114.11
United Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $93.95 / $164.96	Professional		$72.93	$93.95	$164.96