Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $239.73 / $680.40	Facility		$141.02	$239.73	$680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $125.71 / $207.82	Professional		$93.98	$125.71	$207.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $609.24	Facility		$114.80	$114.80	$609.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $158.74 / $257.26	Professional		$114.80	$158.74	$257.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $121.48 / $135.61	Facility		$121.48	$121.48	$135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $160.40 / $254.49	Professional		$107.83	$160.40	$254.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $196.80 / $458.18	Professional		$132.75	$196.80	$458.18
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 $117.20 / $123.27 / $173.67	Professional		$117.20	$123.27	$173.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.38	Professional		$32.34	$32.34	$196.38
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $174.05 / $279.45	Professional		$123.23	$174.05	$279.45