Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.13 / $159.22 / $248.91	Facility		$116.13	$159.22	$248.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $116.13 / $159.22	Professional		$98.61	$116.13	$159.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.58 / $580.41 / $1,342.41	Facility		$319.58	$580.41	$1,342.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $124.11 / $218.34	Professional		$54.03	$124.11	$218.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $199.43 / $757.64	Facility		$81.42	$199.43	$757.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $158.76 / $286.89	Professional		$88.91	$158.76	$286.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $186.15 / $667.42	Professional		$121.45	$186.15	$667.42
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 $126.31 / $128.30 / $138.28	Professional		$126.31	$128.30	$138.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.34 / $144.66	Professional		$32.34	$57.34	$144.66
United Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $157.85 / $259.94	Professional		$109.37	$157.85	$259.94