Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $113.83 / $191.30	Facility		$81.33	$113.83	$191.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $81.33 / $118.74	Professional		$70.08	$81.33	$118.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $331.11 / $806.24	Facility		$187.20	$331.11	$806.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $94.69 / $181.51	Professional		$32.75	$94.69	$181.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $169.06 / $530.12	Facility		$85.16	$169.06	$530.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $114.45 / $166.89	Professional		$66.16	$114.45	$166.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $141.19 / $316.20	Professional		$94.50	$141.19	$316.20
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 $96.36 / $98.11 / $106.28	Professional		$96.36	$98.11	$106.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.59 / $103.77	Professional		$32.34	$35.59	$103.77
United Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $107.45 / $165.30	Professional		$78.43	$107.45	$165.30