Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.24 / $101.72 / $284.10	Facility		$98.24	$101.72	$284.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $106.80	Professional		$101.72	$101.72	$106.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.33 / $861.84 / $2,044.62	Facility		$301.33	$861.84	$2,044.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $115.68 / $142.69	Professional		$115.68	$115.68	$142.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $119.95	Professional		$101.72	$101.72	$119.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $122.06 / $200.45	Professional		$90.79	$122.06	$200.45
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 $132.24 / $132.24 / $132.24	Professional		$132.24	$132.24	$132.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $143.05 / $153.27	Professional		$138.96	$143.05	$153.27
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $111.52	Professional		$101.72	$101.72	$111.52