Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $91.54 / $168.00	Facility		$59.89	$91.54	$168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $96.12	Professional		$91.54	$91.54	$96.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.09 / $371.07 / $1,246.92	Facility		$177.09	$371.07	$1,246.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $107.95	Professional		$91.54	$91.54	$107.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $132.97 / $192.23	Professional		$94.13	$132.97	$192.23
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 $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $100.78	Professional		$30.00	$40.00	$100.78
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $100.36	Professional		$91.54	$91.54	$100.36