Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $2,957.76	Facility		$88.78	$88.78	$2,957.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $88.78 / $129.13	Professional		$69.37	$88.78	$129.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $349.70 / $1,486.16	Facility		$206.70	$349.70	$1,486.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $131.27 / $131.27	Professional		$102.89	$131.27	$131.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $189.02	Facility		$104.24	$104.24	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $200.25	Professional		$76.09	$104.24	$200.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.60 / $189.99 / $222.33	Professional		$144.60	$189.99	$222.33
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 $224.54 / $224.54 / $224.54	Professional		$224.54	$224.54	$224.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $130.19 / $136.69	Professional		$91.13	$130.19	$136.69
United Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $86.17 / $155.80	Professional		$64.15	$86.17	$155.80