Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.29 / $107.29 / $107.29	Facility		$107.29	$107.29	$107.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.68 / $107.29 / $166.99	Professional		$84.68	$107.29	$166.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.63 / $422.33 / $1,795.98	Facility		$249.63	$422.33	$1,795.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.12 / $147.05 / $228.45	Facility		$140.12	$147.05	$228.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $244.29	Professional		$107.35	$107.35	$244.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $247.71 / $307.05	Professional		$187.87	$247.71	$307.05
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 $271.36 / $271.36 / $271.36	Professional		$271.36	$271.36	$271.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $157.32 / $165.18	Professional		$110.12	$157.32	$165.18
United Facility/Professional Professional Modifier Low / Median / High Price $78.01 / $104.14 / $173.56	Professional		$78.01	$104.14	$173.56