Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $80.48 / $89.68	Professional		$70.51	$80.48	$89.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.62 / $317.42 / $1,347.16	Facility		$187.62	$317.42	$1,347.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $118.99 / $118.99	Professional		$103.97	$118.99	$118.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $149.91	Facility		$85.16	$85.16	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $199.45	Professional		$62.17	$85.16	$199.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $160.83 / $200.00	Professional		$125.26	$160.83	$200.00
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 $203.54 / $203.54 / $203.54	Professional		$203.54	$203.54	$203.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $118.02 / $123.92	Professional		$82.61	$118.02	$123.92
United Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $78.11 / $134.10	Professional		$56.66	$78.11	$134.10