Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $103.92 / $202.19	Facility		$99.84	$103.92	$202.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $108.29 / $161.75	Professional		$87.46	$108.29	$161.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.68 / $408.88 / $1,739.75	Facility		$241.68	$408.88	$1,739.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $153.66 / $153.66	Professional		$121.43	$153.66	$153.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $213.42	Facility		$112.67	$112.67	$213.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $234.38	Professional		$82.25	$112.67	$234.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $222.60 / $297.20	Professional		$171.86	$222.60	$297.20
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 $262.85 / $262.85 / $262.85	Professional		$262.85	$262.85	$262.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $163.07 / $171.22	Professional		$114.14	$163.07	$171.22
United Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $100.87 / $177.12	Professional		$74.95	$100.87	$177.12