Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $85.36 / $151.99	Facility		$85.36	$85.36	$151.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $94.04 / $133.09	Professional		$70.89	$94.04	$133.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $479.92 / $1,741.82	Facility		$176.00	$479.92	$1,741.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $151.99 / $151.99	Professional		$118.74	$151.99	$151.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $147.99	Professional		$62.01	$62.01	$147.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $193.03 / $345.40	Professional		$129.19	$193.03	$345.40
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 $197.59 / $197.59 / $197.59	Professional		$197.59	$197.59	$197.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.71 / $212.79 / $227.99	Professional		$206.71	$212.79	$227.99
United Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $75.83 / $134.27	Professional		$64.45	$75.83	$134.27