Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $228.21 / $372.26	Facility		$116.96	$228.21	$372.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $116.96 / $128.37	Professional		$106.97	$116.96	$128.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.87 / $199.68 / $252.45	Facility		$166.87	$199.68	$252.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.78 / $312.29 / $656.68	Facility		$180.78	$312.29	$656.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $173.80 / $208.23	Professional		$171.16	$173.80	$208.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $199.68 / $320.92	Professional		$145.47	$199.68	$320.92
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 $193.98 / $193.98 / $213.95	Professional		$193.98	$193.98	$213.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $149.90	Professional		$59.90	$85.58	$149.90