Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.85 / $137.36 / $218.61	Facility		$85.85	$137.36	$218.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $68.68 / $68.68	Professional		$7.89	$68.68	$68.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.99 / $117.26 / $148.25	Facility		$97.99	$117.26	$148.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $83.76 / $83.76	Professional		$83.76	$83.76	$83.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $208.28 / $385.67	Facility		$58.53	$208.28	$385.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $102.01 / $127.51	Professional		$92.14	$102.01	$127.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $113.08 / $159.56	Professional		$83.76	$113.08	$159.56
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 $41.88 / $57.46 / $104.70	Professional		$41.88	$57.46	$104.70
United Facility/Professional Facility Modifier Low / Median / High Price $100.51 / $100.51 / $100.51	Facility		$100.51	$100.51	$100.51
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $50.26 / $88.03	Professional		$35.18	$50.26	$88.03