Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.58 / $98.58 / $98.58	Facility		$98.58	$98.58	$98.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $98.58 / $163.38	Professional		$86.80	$98.58	$163.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $403.50 / $2,181.98	Facility		$240.00	$403.50	$2,181.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $199.17 / $199.17	Professional		$151.37	$199.17	$199.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $218.06	Facility		$120.62	$120.62	$218.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $231.00	Professional		$88.05	$120.62	$231.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $199.17 / $246.22	Professional		$169.29	$199.17	$246.22
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 $258.92 / $258.92 / $258.92	Professional		$258.92	$258.92	$258.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $120.39 / $126.40	Professional		$84.27	$120.39	$126.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $99.37 / $159.58	Professional		$75.83	$99.37	$159.58