Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $96.12 / $96.12	Facility		$96.12	$96.12	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.12 / $132.66	Professional		$69.12	$96.12	$132.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.19 / $379.29 / $1,609.08	Facility		$224.19	$379.29	$1,609.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $142.13 / $142.13	Professional		$97.71	$142.13	$142.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.54 / $132.63 / $172.54	Facility		$125.54	$132.63	$172.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $216.75	Professional		$96.83	$132.63	$216.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $210.07 / $259.05	Professional		$158.96	$210.07	$259.05
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 $243.11 / $243.11 / $243.11	Professional		$243.11	$243.11	$243.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $150.82 / $158.36	Professional		$105.57	$150.82	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $90.38 / $160.15	Professional		$62.99	$90.38	$160.15