Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $255.92 / $417.47	Facility		$131.16	$255.92	$417.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $131.16 / $143.96	Professional		$105.17	$131.16	$143.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $223.93 / $283.11	Facility		$187.14	$223.93	$283.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.31 / $581.63 / $735.60	Facility		$220.31	$581.63	$735.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $194.94 / $243.68	Professional		$183.79	$194.94	$243.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $215.93 / $295.91	Professional		$127.96	$215.93	$295.91
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 $207.94 / $207.94 / $207.94	Professional		$207.94	$207.94	$207.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $109.73 / $199.94	Professional		$79.98	$109.73	$199.94
United Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $159.94 / $159.94	Facility		$159.94	$159.94	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $95.97 / $159.94	Professional		$67.18	$95.97	$159.94