Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $108.48 / $108.48	Facility		$108.48	$108.48	$108.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $108.48 / $162.12	Professional		$82.93	$108.48	$162.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.81 / $427.71 / $1,815.94	Facility		$252.81	$427.71	$1,815.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $144.01 / $190.75	Facility		$141.69	$144.01	$190.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.00 / $244.50	Professional		$105.13	$144.00	$244.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $226.67 / $279.01	Professional		$179.39	$226.67	$279.01
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 $274.37 / $274.37 / $274.37	Professional		$274.37	$274.37	$274.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $159.07 / $167.02	Professional		$111.34	$159.07	$167.02
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $104.35 / $216.29	Professional		$72.09	$104.35	$216.29