Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $116.53 / $181.38	Professional		$97.86	$116.53	$181.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.30 / $457.30 / $1,950.83	Facility		$270.30	$457.30	$1,950.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $316.25	Facility		$135.51	$135.51	$316.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $262.88	Professional		$98.92	$135.51	$262.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $460.70 / $657.07	Professional		$200.00	$460.70	$657.07
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 $294.74 / $294.74 / $294.74	Professional		$294.74	$294.74	$294.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.85 / $137.39	Professional		$91.59	$130.85	$137.39
United Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $113.11 / $200.29	Professional		$89.63	$113.11	$200.29