Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $79.92 / $79.92	Facility		$79.92	$79.92	$79.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $81.40 / $123.64	Professional		$60.36	$81.40	$123.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.03 / $314.73 / $1,337.89	Facility		$186.03	$314.73	$1,337.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $118.17 / $118.17	Professional		$103.26	$118.17	$118.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $184.43	Facility		$86.66	$86.66	$184.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $180.38	Professional		$63.26	$86.66	$180.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $171.04 / $201.86	Professional		$132.16	$171.04	$201.86
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 $202.14 / $202.14 / $202.14	Professional		$202.14	$202.14	$202.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $117.20 / $123.06	Professional		$82.04	$117.20	$123.06
United Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $77.56 / $137.36	Professional		$57.66	$77.56	$137.36