Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $62.76 / $1,440.72	Facility		$62.76	$62.76	$1,440.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $62.76 / $104.05	Professional		$55.28	$62.76	$104.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.05 / $255.55 / $1,090.99	Facility		$151.05	$255.55	$1,090.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $96.37 / $96.37	Professional		$84.20	$96.37	$96.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $138.82	Facility		$100.70	$100.70	$138.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $148.47	Professional		$85.60	$85.60	$148.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $362.25 / $441.00	Professional		$126.20	$362.25	$441.00
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 $164.84 / $164.84 / $164.84	Professional		$164.84	$164.84	$164.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $77.50 / $81.37	Professional		$54.25	$77.50	$81.37
United Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $63.26 / $108.59	Professional		$47.11	$63.26	$108.59