Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $236.64 / $312.75	Facility		$112.21	$236.64	$312.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $133.24 / $243.60	Professional		$103.34	$133.24	$243.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $504.13 / $2,048.88	Facility		$159.72	$504.13	$2,048.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $181.01 / $292.20	Professional		$130.90	$181.01	$292.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $133.41 / $148.94	Facility		$133.41	$133.41	$148.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $175.46 / $277.77	Professional		$120.05	$175.46	$277.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $218.89 / $500.35	Professional		$146.47	$218.89	$500.35
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 $133.44 / $140.69 / $197.09	Professional		$133.44	$140.69	$197.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $222.87	Professional		$32.34	$32.34	$222.87
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $182.45 / $316.75	Professional		$134.19	$182.45	$316.75