Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $75.23 / $146.37	Facility		$75.23	$75.23	$146.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $75.23 / $117.10	Professional		$58.78	$75.23	$117.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.90 / $295.89 / $1,259.46	Facility		$174.90	$295.89	$1,259.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $111.24 / $111.24	Professional		$94.34	$111.24	$111.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $160.19	Facility		$81.70	$81.70	$160.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $169.50	Professional		$59.64	$81.70	$169.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $166.95 / $204.92	Professional		$128.38	$166.95	$204.92
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 $190.28 / $190.28 / $190.28	Professional		$190.28	$190.28	$190.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $110.33 / $115.84	Professional		$77.23	$110.33	$115.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $73.03 / $152.13	Professional		$54.36	$73.03	$152.13