Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $88.78 / $982.76	Facility		$88.78	$88.78	$982.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $88.78 / $138.18	Professional		$69.37	$88.78	$138.18
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 $111.32 / $131.27 / $131.27	Professional		$111.32	$131.27	$131.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $116.46 / $189.02	Facility		$115.96	$116.46	$189.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $116.46 / $200.25	Professional		$85.02	$116.46	$200.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $192.68 / $237.17	Professional		$148.18	$192.68	$237.17
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 $105.25 / $150.37 / $157.88	Professional		$105.25	$150.37	$157.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $85.40 / $147.16	Professional		$64.15	$85.40	$147.16