Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.98 / $106.98 / $2,035.80	Facility		$106.98	$106.98	$2,035.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.21 / $106.98 / $177.34	Professional		$94.21	$106.98	$177.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.33 / $1,040.81 / $2,270.15	Facility		$285.33	$1,040.81	$2,270.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $164.28 / $164.28	Professional		$143.54	$164.28	$164.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $236.64	Facility		$171.65	$171.65	$236.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $250.50	Professional		$145.90	$171.65	$250.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $310.83 / $373.72	Professional		$205.35	$310.83	$373.72
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 $281.01 / $281.01 / $281.01	Professional		$281.01	$281.01	$281.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $148.58 / $156.00	Professional		$104.00	$148.58	$156.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.30 / $107.84 / $185.12	Professional		$82.30	$107.84	$185.12