Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.77 / $98.77 / $98.77	Facility		$98.77	$98.77	$98.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $100.60 / $153.74	Professional		$83.80	$100.60	$153.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $387.36 / $1,653.46	Facility		$228.96	$387.36	$1,653.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $214.81	Facility		$124.31	$124.31	$214.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $224.98	Professional		$90.75	$90.75	$224.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.34 / $211.39 / $251.72	Professional		$163.34	$211.39	$251.72
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 $249.82 / $249.82 / $249.82	Professional		$249.82	$249.82	$249.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $144.84 / $152.08	Professional		$101.38	$144.84	$152.08
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.87 / $165.08	Professional		$79.43	$95.87	$165.08