Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $194.68 / $1,481.25	Facility		$96.36	$194.68	$1,481.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $96.36 / $159.72	Professional		$84.86	$96.36	$159.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.14 / $392.74 / $1,675.06	Facility		$232.14	$392.74	$1,675.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $147.96 / $147.96	Professional		$129.28	$147.96	$147.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $213.08	Facility		$67.73	$67.73	$213.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $225.75	Professional		$57.58	$67.73	$225.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $272.74 / $336.14	Professional		$193.71	$272.74	$336.14
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 $253.08 / $253.08 / $253.08	Professional		$253.08	$253.08	$253.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $118.98 / $124.92	Professional		$83.28	$118.98	$124.92
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $97.13 / $171.99	Professional		$72.31	$97.13	$171.99