Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.85 / $153.22 / $294.87	Facility		$106.85	$153.22	$294.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $104.01 / $161.26	Professional		$88.39	$104.01	$161.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.33 / $399.90 / $1,159.86	Facility		$208.33	$399.90	$1,159.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $113.53 / $178.37	Professional		$32.75	$113.53	$178.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $248.05 / $689.49	Facility		$116.80	$248.05	$689.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $132.69 / $201.10	Professional		$83.85	$132.69	$201.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $164.41 / $437.05	Professional		$113.31	$164.41	$437.05
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 $115.53 / $118.24 / $127.78	Professional		$115.53	$118.24	$127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.59 / $133.66	Professional		$32.34	$35.59	$133.66
United Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $132.76 / $214.74	Professional		$102.61	$132.76	$214.74