Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $134.90 / $204.17	Facility		$70.79	$134.90	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $190.55	Professional		$63.10	$95.50	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $1,023.29	Facility		$173.78	$380.19	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $204.17	Professional		$83.18	$120.23	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $181.97	Professional		$72.44	$112.20	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $363.08	Professional		$91.20	$154.88	$363.08
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 $79.43 / $87.10 / $141.25	Professional		$79.43	$87.10	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $724.44 / $2,187.76	Facility		$158.49	$724.44	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $177.83	Professional		$69.18	$102.33	$177.83