Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $245.47	Facility		$81.28	$114.82	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $151.36	Professional		$64.57	$81.28	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $660.69	Facility		$190.55	$338.84	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $95.50 / $181.97	Professional		$33.11	$95.50	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $128.82 / $354.81	Facility		$53.70	$128.82	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $162.18	Professional		$66.07	$112.20	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $363.08	Professional		$97.72	$181.97	$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 $95.50 / $97.72 / $107.15	Professional		$95.50	$97.72	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $199.53 / $630.96	Facility		$52.48	$199.53	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $151.36	Professional		$75.86	$102.33	$151.36