Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $99.24 / $99.24	Facility		$99.24	$99.24	$99.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $99.24 / $154.46	Professional		$77.55	$99.24	$154.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.55 / $390.05 / $1,661.21	Facility		$230.55	$390.05	$1,661.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $146.74 / $146.74	Professional		$124.44	$146.74	$146.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $211.37	Facility		$107.78	$107.78	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $223.88	Professional		$78.68	$107.78	$223.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $194.84 / $239.42	Professional		$154.46	$194.84	$239.42
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 $251.00 / $251.00 / $251.00	Professional		$251.00	$251.00	$251.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $145.53 / $152.80	Professional		$101.87	$145.53	$152.80
United Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $85.28 / $193.08	Facility		$58.27	$85.28	$193.08
United Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $96.32 / $165.36	Professional		$71.70	$96.32	$165.36