Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $80.91 / $258.57	Facility		$80.91	$80.91	$258.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $80.91 / $125.41	Professional		$63.23	$80.91	$125.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.62 / $317.42 / $1,354.56	Facility		$187.62	$317.42	$1,354.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $119.65 / $119.65	Professional		$96.86	$119.65	$119.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $172.32	Facility		$88.85	$88.85	$172.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $182.63	Professional		$64.86	$88.85	$182.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $169.23 / $220.40	Professional		$132.90	$169.23	$220.40
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 $204.66 / $204.66 / $204.66	Professional		$204.66	$204.66	$204.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $137.05 / $143.90	Professional		$95.93	$137.05	$143.90
United Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $78.54 / $139.07	Professional		$58.47	$78.54	$139.07