Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.22 / $177.22 / $228.07	Facility		$95.22	$177.22	$228.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $113.58 / $197.14	Professional		$85.92	$113.58	$197.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.81 / $429.24 / $1,738.70	Facility		$227.81	$429.24	$1,738.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $143.50 / $160.19	Facility		$143.50	$143.50	$160.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $154.47 / $234.87	Professional		$96.21	$154.47	$234.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $190.04 / $452.66	Professional		$120.24	$190.04	$452.66
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 $110.76 / $120.24 / $176.46	Professional		$110.76	$120.24	$176.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $199.54	Professional		$32.34	$32.34	$199.54
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,685.00	Facility		$165.00	$843.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.59 / $151.32 / $269.50	Professional		$110.59	$151.32	$269.50