Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $90.61 / $90.61	Facility		$90.61	$90.61	$90.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $92.29 / $141.03	Professional		$77.62	$92.29	$141.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $355.08 / $1,516.92	Facility		$209.88	$355.08	$1,516.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $133.97 / $133.97	Professional		$117.07	$133.97	$133.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $217.32	Facility		$110.16	$110.16	$217.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $204.38	Professional		$80.42	$110.16	$204.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $209.53 / $251.78	Professional		$158.66	$209.53	$251.78
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 $229.18 / $229.18 / $229.18	Professional		$229.18	$229.18	$229.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $132.88 / $139.52	Professional		$93.01	$132.88	$139.52
United Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $87.95 / $155.74	Professional		$72.87	$87.95	$155.74