Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $133.87 / $183.51	Facility		$70.66	$133.87	$183.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $91.51 / $161.54	Professional		$59.52	$91.51	$161.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.57 / $366.36 / $1,156.47	Facility		$158.57	$366.36	$1,156.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $120.70 / $203.19	Professional		$84.01	$120.70	$203.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.26 / $108.26 / $120.86	Facility		$108.26	$108.26	$120.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $116.25 / $186.82	Professional		$73.80	$116.25	$186.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $150.86 / $344.08	Professional		$93.99	$150.86	$344.08
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 $79.53 / $87.87 / $140.09	Professional		$79.53	$87.87	$140.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $158.41	Professional		$32.34	$32.34	$158.41
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 $90.45 / $125.06 / $216.22	Professional		$90.45	$125.06	$216.22