Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.68 / $80.68 / $156.97	Facility		$80.68	$80.68	$156.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $80.68 / $125.58	Professional		$63.05	$80.68	$125.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.62 / $317.42 / $1,350.68	Facility		$187.62	$317.42	$1,350.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $119.30 / $119.30	Professional		$101.17	$119.30	$119.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $171.86	Facility		$99.06	$99.06	$171.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $181.88	Professional		$72.31	$99.06	$181.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.27 / $180.30 / $219.76	Professional		$141.27	$180.30	$219.76
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 $204.06 / $204.06 / $204.06	Professional		$204.06	$204.06	$204.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $136.66 / $143.49	Professional		$95.66	$136.66	$143.49
United Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $78.31 / $138.66	Professional		$58.30	$78.31	$138.66