Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $117.61 / $117.61	Facility		$117.61	$117.61	$117.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $117.61 / $164.41	Professional		$87.12	$117.61	$164.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.48 / $462.68 / $1,968.79	Facility		$273.48	$462.68	$1,968.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $216.74	Facility		$111.95	$111.95	$216.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.94 / $265.13	Professional		$81.72	$111.94	$265.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $194.49 / $272.27	Professional		$149.69	$194.49	$272.27
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 $297.45 / $297.45 / $297.45	Professional		$297.45	$297.45	$297.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $172.46 / $181.08	Professional		$120.72	$172.46	$181.08
United Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $111.91 / $195.97	Professional		$74.48	$111.91	$195.97