Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.65 / $158.19 / $227.82	Facility		$84.65	$158.19	$227.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $112.35 / $193.38	Professional		$75.79	$112.35	$193.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.49 / $431.88 / $1,545.56	Facility		$201.49	$431.88	$1,545.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $150.91 / $253.48	Professional		$101.61	$150.91	$253.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.46 / $138.46 / $154.58	Facility		$138.46	$138.46	$154.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $142.15 / $233.05	Professional		$91.07	$142.15	$233.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $188.61 / $415.07	Professional		$113.97	$188.61	$415.07
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 $95.25 / $105.98 / $175.14	Professional		$95.25	$105.98	$175.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.04	Professional		$32.34	$32.34	$198.04
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 $112.05 / $151.47 / $267.52	Professional		$112.05	$151.47	$267.52