Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $194.98	Facility		$97.72	$97.72	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $186.21	Professional		$85.11	$104.71	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $1,318.26	Facility		$229.09	$371.54	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $128.82	Facility		$123.03	$123.03	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $213.80	Professional		$91.20	$91.20	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $269.15	Professional		$162.18	$204.17	$269.15
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 $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $144.54	Professional		$102.33	$102.33	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $316.23	Facility		$81.28	$154.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $158.49	Professional		$75.86	$95.50	$158.49