Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $236.25	Facility		$89.41	$89.41	$236.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $93.88	Professional		$89.41	$89.41	$93.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.55 / $402.70 / $1,995.60	Facility		$263.55	$402.70	$1,995.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $104.18 / $104.18	Professional		$104.18	$104.18	$104.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $118.08	Professional		$89.41	$89.41	$118.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $125.17 / $517.95	Professional		$76.00	$125.17	$517.95
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 $116.23 / $116.23 / $116.23	Professional		$116.23	$116.23	$116.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $135.28	Professional		$30.00	$40.00	$135.28
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $98.02	Professional		$89.41	$89.41	$98.02