Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $90.60 / $90.60	Facility		$90.60	$90.60	$90.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $92.28 / $141.02	Professional		$73.56	$92.28	$141.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $355.08 / $1,516.69	Facility		$209.88	$355.08	$1,516.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $133.97 / $133.97	Professional		$117.06	$133.97	$133.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $204.01	Facility		$110.15	$110.15	$204.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.14 / $204.38	Professional		$80.41	$110.14	$204.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $200.34 / $246.60	Professional		$154.07	$200.34	$246.60
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 $229.15 / $229.15 / $229.15	Professional		$229.15	$229.15	$229.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $129.94 / $136.43	Professional		$90.95	$129.94	$136.43
United Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $87.94 / $154.41	Professional		$73.28	$87.94	$154.41