Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.28 / $96.28 / $96.28	Facility		$96.28	$96.28	$96.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $96.28 / $123.01	Professional		$63.97	$96.28	$123.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.19 / $379.29 / $1,611.66	Facility		$224.19	$379.29	$1,611.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $142.36 / $142.36	Professional		$90.55	$142.36	$142.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $154.54	Facility		$89.11	$89.11	$154.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $217.13	Professional		$65.05	$89.11	$217.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $187.31 / $232.26	Professional		$136.63	$187.31	$232.26
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 $243.50 / $243.50 / $243.50	Professional		$243.50	$243.50	$243.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $141.18 / $148.23	Professional		$98.82	$141.18	$148.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $90.53 / $165.24	Professional		$64.43	$90.53	$165.24