Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $190.55	Facility		$95.50	$95.50	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $181.97	Professional		$87.10	$104.71	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $1,288.25	Facility		$229.09	$363.08	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $144.54	Professional		$125.89	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $218.78	Facility		$123.03	$123.03	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $213.80	Professional		$89.13	$89.13	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $269.15	Professional		$158.49	$218.78	$269.15
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 $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $109.65	Professional		$75.86	$75.86	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $288.40	Facility		$74.13	$151.36	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $151.36	Professional		$72.44	$93.33	$151.36