Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $97.30 / $164.32	Facility		$97.30	$97.30	$164.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $97.30 / $139.25	Professional		$68.73	$97.30	$139.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.78 / $381.98 / $1,628.92	Facility		$225.78	$381.98	$1,628.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $143.88 / $143.88	Professional		$92.44	$143.88	$143.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $171.38	Facility		$117.36	$117.36	$171.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $219.38	Professional		$85.67	$117.36	$219.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $155.51 / $200.00 / $240.07	Professional		$155.51	$200.00	$240.07
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 $246.10 / $246.10 / $246.10	Professional		$246.10	$246.10	$246.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $152.69 / $160.32	Professional		$106.88	$152.69	$160.32
United Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $91.51 / $162.13	Professional		$62.76	$91.51	$162.13