Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $296.52	Facility		$98.11	$98.11	$296.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $103.01	Professional		$98.11	$98.11	$103.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.20 / $755.13 / $3,742.08	Facility		$494.20	$755.13	$3,742.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $129.58	Professional		$98.11	$98.11	$129.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $107.92 / $237.72	Professional		$83.39	$107.92	$237.72
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 $127.54 / $127.54 / $127.54	Professional		$127.54	$127.54	$127.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $138.56	Professional		$30.00	$40.00	$138.56
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $110.86	Professional		$98.11	$98.11	$110.86