Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $82.76 / $147.37	Facility		$82.76	$82.76	$147.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $90.33 / $129.04	Professional		$68.73	$90.33	$129.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.60 / $465.34 / $1,688.85	Facility		$169.60	$465.34	$1,688.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $147.37 / $155.88	Professional		$115.14	$147.37	$155.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $151.16	Professional		$60.12	$60.12	$151.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $187.16 / $345.40	Professional		$125.26	$187.16	$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 $191.58 / $191.58 / $191.58	Professional		$191.58	$191.58	$191.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $206.32 / $221.06	Professional		$200.42	$206.32	$221.06
United Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $73.52 / $130.18	Professional		$52.08	$73.52	$130.18