Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.96 / $110.96 / $110.96	Facility		$110.96	$110.96	$110.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $111.98 / $172.70	Professional		$91.38	$111.98	$172.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $435.78 / $1,857.50	Facility		$257.58	$435.78	$1,857.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $164.07 / $164.07	Professional		$143.36	$164.07	$164.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $230.97	Facility		$139.66	$139.66	$230.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $250.13	Professional		$101.95	$139.66	$250.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $243.19 / $299.33	Professional		$187.02	$243.19	$299.33
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 $280.64 / $280.64 / $280.64	Professional		$280.64	$280.64	$280.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $162.71 / $170.84	Professional		$113.89	$162.71	$170.84
United Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $104.75 / $184.89	Professional		$87.30	$104.75	$184.89