Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $243.82 / $780.16	Facility		$99.97	$243.82	$780.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $99.97 / $99.97	Professional		$98.97	$99.97	$99.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $170.67 / $215.78	Facility		$142.63	$170.67	$215.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $121.91 / $185.30	Professional		$121.91	$121.91	$185.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.91 / $312.72 / $561.38	Facility		$167.91	$312.72	$561.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $148.41 / $177.81	Professional		$146.29	$148.41	$177.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.35 / $170.67 / $274.30	Professional		$124.35	$170.67	$274.30
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 $165.80 / $165.80 / $182.87	Professional		$165.80	$165.80	$182.87
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $79.23 / $158.19	Professional		$51.20	$79.23	$158.19