Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $153.06 / $235.61	Facility		$70.33	$153.06	$235.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $70.33 / $91.54	Professional		$62.66	$70.33	$91.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $160.19 / $202.54	Facility		$133.88	$160.19	$202.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $273.72 / $527.13	Facility		$96.36	$273.72	$527.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $131.75 / $1,722.66	Professional		$91.77	$131.75	$1,722.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $154.47 / $211.70	Professional		$114.43	$154.47	$211.70
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $78.50 / $114.43	Professional		$57.22	$78.50	$114.43
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $51.46 / $100.16	Professional		$36.02	$51.46	$100.16