Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $107.89 / $107.89	Facility		$27.32	$107.89	$107.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $107.89 / $167.93	Professional		$84.35	$107.89	$167.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.95 / $578.28 / $1,806.19	Facility		$337.95	$578.28	$1,806.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.29 / $159.53 / $159.53	Professional		$135.29	$159.53	$159.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $229.83	Facility		$149.11	$149.11	$229.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.11 / $243.38	Professional		$108.85	$149.11	$243.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $263.02 / $323.22	Professional		$200.00	$263.02	$323.22
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 $272.88 / $272.88 / $272.88	Professional		$272.88	$272.88	$272.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $118.50 / $177.75	Professional		$43.85	$118.50	$177.75
United Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $104.72 / $174.54	Professional		$77.98	$104.72	$174.54