Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $199.53	Facility		$79.43	$147.91	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $204.17	Professional		$70.79	$102.33	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $1,148.15	Facility		$194.98	$407.38	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $194.98	Professional		$81.28	$125.89	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $363.08	Professional		$102.33	$169.82	$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 $89.13 / $97.72 / $151.36	Professional		$89.13	$97.72	$151.36
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 $77.62 / $112.20 / $194.98	Professional		$77.62	$112.20	$194.98